Corporate - Sr Specialist - Provider Relations (Assignment)
: Job Details :

Requisition ID: 865732 Position:Full-TimeTotal Rewards: Benefits/Incentive InformationThere's more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we're reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what's best, not more of the same. And if what's best hasn't been done yet, it's our exceptional and passionate employees driving this change. But, our passion for vision isn't just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world's vision crisis.Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear. In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands. Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.If you're passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America's fastest growing vision benefits company.GENERAL FUNCTION The Sr. Specialist - Provider Relations will support all activities for the set up and maintenance of retail stores and providers on the Assignment networks. The Sr. Specialist will ensure all stores and providers are set up accurately and maintained in our internal database. The Sr Specialist will also deliver provider & store education, as well as resolution of escalated issues. The Sr. Specialist will collaborate with various internal and external business partners to track, report, and identify opportunities that create simplicity and drive business initiatives while maintaining compliance with corporate guidelines, ensuring ongoing alignment with performance metrics. The Sr. Specialist will provide meaningful feedback for quality assurance and operational process improvements to leadership.MAJOR DUTIES AND RESPONSIBILITIES

• Manage new store & provider data to track, maintain, and update new store set-up. Communicating with the retail brands, the Fleet Management team, and vision insurance carriers to ensure data is accurate to support smooth openings for retail stores.
• Manage new store-activity tracker, brand reference sheets, and updated information all communicated timely to the brands.
• Act as liaison to the EyeCare team to coordinate Assignment related OD communications and assist with escalated issues related to Assignment
• Interact with providers to answer credentialing questions, withhold disputes, payment and escalated issues
• Deliver store training to educate store employees on Assignment processes
• Maintain strong relationship with vision insurance carriers, retail brands and the Call Center, resolving escalated member concerns, credentialing issues, plan benefit clarification and claim research
• Participate on the Assignment Migration Project (AMP), representing provider relations as it relates to provider set up in Facets.

BASIC QUALIFICATIONS

• Bachelor's Degree in a related field or equivalent work experience
• 4+ year of experience in operations type role
• Experience in provider relations, contract / provider onboarding, & credentialing
• Experience in Facets and AS400
• Excellent interpersonal, oral, and written communication skills
• Strong problem-solving, analysis and issue resolution skills
• Ability to work independently in a fast-paced environment, manage multiple assignments, establish priorities, and demonstrate excellent time management skills
• Demonstrate thorough critical thinking skills to solidify understanding of bigger picture
• Strong attention to detail
• Self-driven desire to drive initiatives

PREFERRED QUALIFICATIONS

• Experience in optical, insurance or corporate related field

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-###-#### (be sure to provide your name and contact information so that we may follow up in a timely manner) or email ...@luxotticaretail.com. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.