• Provider Relations Representative

    Job Locations US-NY-Brooklyn
    Req #
    107098
    Agency
    Elderplan
    Status
    Regular Full-Time
    Location : Postal Code
    11220
    Category
    Provider & Network Contracting
    Office or Field
    Office-based
  • Overview

    The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

    Why work for MJHS?

    When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

     

    Benefits include:

    • Sign-on Bonuses OR Student Loan Assistance for clinical staff
    • FREE Online RN to BSN and MSN degree programs!
    • Tuition Reimbursement for all full and part-time staff
    • Dependent Tuition Reimbursement for clinical staff!
    • Generous paid time off
    • Affordable medical, dental and vision coverage for employee and family members
    • Two retirement plans! 403(b) AND Employer Paid Pension
    • Flexible spending
    • And MORE!

    Responsibilities

    Responsible for managing all aspects of the business relationship with the provider/customer. Ensures that all appropriate resources are available and utilized effectively/efficiently to maximize provider satisfaction and downstream member satisfaction. Provide the same level of timely and accurate service to internal customers that rely on the work performed by Provider Relations.

    Qualifications

    • High School Diploma or equivalent combined with 6+ years of experience in Managed Care, Practice Management or large group practice, OR, Bachelor's Degree in related field.
    • With Bachelor's Degree; minimum two years of experience
    • Knowledge of Microsoft Office
    • Must have car and valid driver's license
    • Strong communication and present skills, both written and oral, as well as public speaking skills
    • Ability to multi-task in a fast-paced environment with minimal supervision

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