Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Work in a field-based position with significant interaction with healthcare providers
- Chance to make a positive impact on provider satisfaction and healthcare delivery
- Engage with senior leaders and physicians to improve coordination and partnerships
- Supportive and collaborative work environment

What to Expect (Job Responsibilities):
- Serve as the primary point of contact between the employer and contracted provider network, ensuring compliance with policies and procedures
- Conduct regular site visits within the assigned region, assessing provider compliance and quality of customer service
- Provide on-the-spot training and education to providers and their staff
- Troubleshoot problems independently and coordinate meetings to resolve issues with stakeholders
- Deliver training and presentations to assigned providers, management, and larger groups

What is Required (Qualifications):
- Associate's Degree or equivalent experience in provider contract, network development, or project management in a managed healthcare setting
- 2-3 years of customer service, provider service, or claims experience in a managed care environment
- Familiarity with various managed healthcare provider compensation methodologies, particularly in Medicaid and Medicare
- Ability to travel 60%+ for same-day or overnight visits
- Strong communication and organizational skills

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in a related field or equivalent combination of education and experience
- 3+ years of experience in managed healthcare administration and/or Provider Services

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