Provider Relations Analyst
Provider Relations Analyst
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Location:
Calmont Operations BuildingDepartment:
Network MgmtShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Position will report directly to the Director Access & Delivery. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and Director of Access & Delivery Management and the Provider Relations staff. This includes maintaining effective relationships with the physician community including physician education facilitation and resolution of complex urgent problems.Additional Information:
Education:
Bachelors Degree preferred but will consider 10 years healthcare/provider and/or member services experience in lieu of degree.
12 years experience in a provider or member services role working with state regulatory agencies preferred.
Familiarity with the provider community presenting in a public setting and public speaking is desired.
Medical billing and Healthcare industry knowledge a plus.
Basic understanding of CHIP & STAR benefits and NPI/TPI relationships for billing.
Working knowledge of HMO business operations specifically member services claims credentialing and plan operations.
Experience with Microsoft Office Suite (Outlook Excel Word PowerPoint).
About Us:
Cook Childrens Health Plan
Cook Childrens Health Plan provides vital coverage to nearly 120000 people in lowincome families who qualify for governmentsponsored programs in our six county service region. Cook Childrens Health Plan provides health coverage for CHIP CHIP Perinatal STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant Johnson Denton Parker Hood and Wise.
Cook Childrens is an EOE/AA Minority/Female/Disability/Veteran employer.
Required Experience:
IC
Employment Type
Full-Time
