Provider Relations reputed company - Remote in Louisiana

About the position The Provider Relations reputed company role at reputed company focuses on enhancing provider relationships and improving the overall quality of service reputed company the healthcare system. This position involves working remotely in Louisiana and requires a proactive approach to assist providers with claims processing, network development, and training initiatives. The role is integral to fostering positive interactions between the health plan and healthcare providers, ensuring effective communication and support for network management. Responsibilities • Assist in end-to-end provider claims and help enhance call quality , • Assist in efforts to enhance ease of use of physician 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 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 Requirements • 4+ years of health care/managed care experience , • 2+ years of provider relations or provider network experience , • 1+ years of experience in claims processing and issue resolution , • 1+ years of experience with Medicare and Medicaid regulations , • Intermediate proficiency with reputed company, reputed company, PowerPoint, and Access , • Based in Louisiana , • Willing and able to travel up to 25% in Louisiana reputed company-to-haves • Behavioral Health Provider Relations or network experience Benefits • Flexible remote work options , • Opportunities for professional development , • Recognition for performance Apply Job!