Supervisor, Provider Relations

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.  

*NOTE: For this role we are seeking candidates who reputed company reputed company the Eastern Time Zone (EST)*

Position Purpose: Supervise and coordinate the operations of the provider relations department

• Supervise the day-to-day workflow of the provider relations function in compliance with health plan, corporate and state policies, procedures and guidelines
• Train and update staff regarding policies and procedures
• Receive and respond to emergent provider issues
• Ensure standards are met and maintained
• Plan, coordinate and participate in scheduled and unscheduled meetings with providers to conduct orientations, train providers on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
• Review provider change forms for accuracy
• Assist in the resolution of claims payment and provider set-up issues
• Coordinate and attend health plan sponsored provider functions
• Assist in the development of policies and procedures
• Update and maintain Provider reputed company
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Bachelor’s degree in Marketing, Communications, Public Relations or Business or equivalent experience. 4+ years of provider relations, marketing, customer service and/or claims processing/billing experience in a managed care environment. Supervisory or reputed company experience strongly preferred. Dental Provider experience strongly preferred. Knowledge of managed care and state reputed company program guidelines.

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act