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Plays a key role in supporting our VNS Health Upstate Network. Assists with building relationships with providers, operational tasks (such as credentialing and claims), and coordinating the implementation of performance improvement strategies. Works closely with existing and potential providers to ensure their satisfaction. This position operates under general supervision.
Compensation:$63,800.00 - $79,800.00 Annual
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, including Medical, Dental, Vision, Life, and Disability
- Employer-matched retirement saving funds
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement
- Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
- Assists with creating provider contracts, including recruitment, contracting (negotiates contractual terms, services, and rates of reimbursement), credentialing, recredentialing, and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
- Prepares materials for providers and assists with understanding contract terms, program requirements, and service coordination.
- Supports positive provider relationships with the provider community through regular on-site and/or virtual visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.
- Coordinates provider site visits.
- Coordinates meetings to serve as a resource and address provider issues.
- Updates and maintains provider manuals with current Health Plan policies and procedures. Updates and proofs provider directories.
- Flexibility to travel within the assigned territory.
- Participates in special projects and performs other duties as assigned.
QualificationsEducation:
- Bachelor's Degree in Business or equivalent related work experience, preferably in a health care setting, required.
Work Experience:
- Minimum one year of health care experience, required.
- Prior experience in Provider Relations and contracting, preferred.
- Knowledge of government programs, including Medicare and Medicaid, preferred.
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