Provider Relations Specialist II
Company Name:
Centene
## Description
Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims
Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers acclimated to plan website
Monitor financial performance of contracts
Investigate and document provider changes and correspondence
Coordinate with credentialing to ensure all appropriate documentation is received
Serve as a lead for key special projects
Recommend changes in pricing subsystems
Coordinate printing of provider directories with corporate and plan level entities
Investigate and respond to complex provider related issues and initiate change of provider related database information
Serve as a subject matter expert for provider relations activities and as a mentor for Provider Relations Specialist I staff
Ability to travel
## Qualifications
Education/
Experience: High school diploma or equivalent. Bachelor's degree in healthcare related field preferred. 5
years of sales, provider relations, or contracting experience. Claims processing and/or managed care experience preferred.
License/Certification: Valid driver's license.
## Job
Job: Business Development & Sales
Primary Location: USA-Mississippi-Jackson
Organization: Growth & Expansion
Schedule: Full-time
Req ID: 1006050Estimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims
Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers acclimated to plan website
Monitor financial performance of contracts
Investigate and document provider changes and correspondence
Coordinate with credentialing to ensure all appropriate documentation is received
Serve as a lead for key special projects
Recommend changes in pricing subsystems
Coordinate printing of provider directories with corporate and plan level entities
Investigate and respond to complex provider related issues and initiate change of provider related database information
Serve as a subject matter expert for provider relations activities and as a mentor for Provider Relations Specialist I staff
Ability to travel
## Qualifications
Education/
Experience: High school diploma or equivalent. Bachelor's degree in healthcare related field preferred. 5
years of sales, provider relations, or contracting experience. Claims processing and/or managed care experience preferred.
License/Certification: Valid driver's license.
## Job
Job: Business Development & Sales
Primary Location: USA-Mississippi-Jackson
Organization: Growth & Expansion
Schedule: Full-time
Req ID: 1006050Estimated Salary: $20 to $28 per hour based on qualifications.
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