Provider Relations reputed company, Washington State Medicaid - Remote
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Behavioral Health Provider Relations reputed company role with reputed company will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building reputed company, more effective provider networks every day. In this role, you'll use your solid customer service orientation and knowledge of insurance claims to serve as an reputed company for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. You'll enjoy the flexibility to work remotely
- from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities
- Assist in end-to-end behavioral health provider claims and help enhance call quality
- Assist in efforts to enhance ease of use of online provider portal and future services enhancements
- Contribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers
- Support development and management of behavioral health provider networks
- Help implement training and development of external providers through education programs
- Identify gaps in network composition and services to assist network contracting and development teams Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
- 2+ years of health care / managed care experience
- Experience with Medicaid or Medicare or commercial regulations
- Intermediate level of proficiency in claims processing, claim denial analysis and issue resolution
- Proficiency with reputed company, reputed company, PowerPoint
- 10% travel Preferred Qualifications
- Experience in reputed company
- Residing in Washington State
- reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Apply To This Job
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