Provider Relations Representative
We have an opportunity to join the Alliance as a Provider Relations Representative in the Provider Services Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Provider Relations Supervisor, you will:
- Research, analyze, and coordinate the resolution of complex provider payment concerns and assist with the resolution of provider issues and grievances
- Engage in and facilitate provider recruitment, contracting, communication, and relationships in support of strategic organizational objectives
- Respond to provider educational needs by planning and conducting ongoing provider training and workshops
ABOUT THE TEAM
The Provider Relations team recruits, educates, advocates, and supports the Alliance provider network. They are the "Face of the Alliance" and build and maintain strong relationships with providers.
ABOUT THE POSITION
Effective 1/1/24, the Alliance expanded services into San Benito County. For this position, travel within San Benito County is required for this role to support provider recruitment, help build and foster relationships with Alliance providers, and support new providers. We anticipate 1-2 days of travel per week now, and that could increase in the future. This role may also support providers in Monterey County.
THE IDEAL CANDIDATE
- You are motivated and excited to be a part of the Alliance’s journey of expanding into a new county
- You understand why being face-to-face with providers is important and you are excited to travel within San Benito County to be the face of the Alliance for new providers
- You have a background in healthcare and are experienced in working with physicians, other clinicians, and front and back office medical staff
- You seek to understand the root cause of problems and work diligently to resolve them, not stopping or passing the buck to someone else along the way
- You use good judgement, tact, and diplomacy when interacting with providers and other stakeholders, especially when managing delicate or sensitive issues
- You take ownership of your work and actively prioritize tasks with competing deadlines, keeping up with timely communication to providers
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description and list of requirements click here.
- Knowledge of:
- The principles and practices of customer service
- Windows-based PC system and Microsoft Word, Excel, Outlook, and PowerPoint
- Ability to:
- Design and produce reports from a database reporting tool
- Conduct research, gather information, analyze data, and prepare recommendations and reports
- Proofread and audit data for accuracy
- Develop and implement effective provider recruitment strategies
- Develop and prepare educational materials and conduct provider orientations and trainings
- Apply sales and marketing skills when working with provider networks
- Design work plans and organize work to handle multiple tasks simultaneously
- Education and Experience:
- Bachelor's degree in Business, Marketing, Public Relations, Health Care or a related field
- Two years of experience in a health care, customer service, marketing or public relations environment [two (2) years of additional experience may substitute for the Bachelor's degree]; or an equivalent combination of education and experience, which would provide the required knowledge, skills and abilities may be qualifying
OTHER INFORMATION
- We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
San Benito County Pay Range
$66,277 - $106,059 USD
OUR BENEFITS
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
- And many more
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
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