New York, NY, US
8 days ago
Provider Relations Representative
Welcome page Returning Candidate? Log back in! Job Locations US-NY-New York Req # 2628 Agency Elderplan Status Regular Full-Time Location : Postal Code 10041 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 staffFREE Online RN to BSN and MSN degree programs!Tuition Reimbursement for all full and part-time staffDependent Tuition Reimbursement for clinical staff!Generous paid time offAffordable medical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

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. Assists other departments such as Revenue Management, Quality Improvement, and Contracting in activities such as, but not limited to, collecting member records for audit and conducting Social Adult Day Care site visits. 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 experienceKnowledge of Microsoft OfficeMust have car and valid driver's licenseStrong communication and present skills, both written and oral, as well as public speaking skillsAbility to multi-task in a fast-paced environment with minimal supervision Min USD $61,463.13/Yr. Max USD $73,755.75/Yr. Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs

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