Provider Relations & Contracting Representative

Job Description:POSITION SUMMARY The Provider Relations Representative will be primarily responsible for management of the relationships with key medical groups, hospitals and ancillary providers. This position will act as a liaison between the provider and the health plan to present, promote and resolve clinical and administrative concerns of providers. The Provider Relations Representative may be responsible to collaborate with other interdepartmental resources to design, development and implementation of provider programs and initiatives to increase community interest, understanding and goodwill for providers. GENERAL RESPONSIBILITIES * Maintains regular contact with key provider organizations and acts as a liaison to internally resolve complex issues * Resolve incoming escalated provider inquiries daily * Represents Care Improvement Plus externally, delivering professional and polished image by phone and in person regularly to educate and establish working relationships * Facilitates the distribution of provider agreements * Implements, in collaboration with other departments, provider relations programs to facilitate effective provider communications and enhance provider satisfaction * Responsible for creating and maintaining timelines to help ensure the timely implementation of the interventions, activities, etc. to support the organizations business model and providers. * Assist in the creation of high quality analysis deliverables, such as work flow diagrams, policies and procedures, project timeline documents and throughput reports related to assigned providers. * Ensure that processes are being appropriately documented to support the ongoing operations. * Assist interdepartmental resources to maintain an accurate and complete updated provider database as well as ensure new physician contracts are entered accurately * Interacts with affiliated departments to ensure closure of paperwork flow. * Performs other duties as assigned REQUIRED EDUCATION AND EXPERIENCE * Bachelor's degree or equivalent combination of education and related experience. * Minimum of 3 years experience in Provider Relations and a managed care setting, health plan or large medical group administration is required * Experience in sales and/or marketing is preferred. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES * Experience with disease management programs preferred. * Excellent administrative, analytical, organizational, verbal and written communication and presentation skills are required * Proficiency with MS Office Suite * Pleasant phone demeanor and possess excellent customer service skills are required * Professional image and behavior are required * Ability to work with others while completing multiple tasks simultaneously and successfully is required. * Extensive out of office travel may be required We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. Company: XL Health Location: Atlanta, GA 30301 Job Status/Type: Full Time, Employee Job Category: Marketing/Product Industry: Healthcare Services Occupations: General/Other: Marketing/Product Career Level: Experienced (Non-Manager)e Company: XL Health Fax: 410.625.2261 Reference Code: 10428