Senior Provider Relations Representative
Company: University Health
Location: San Antonio
Posted on: April 26, 2024
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES Working with Department
management, evaluates, plans, develops and maintains HMO network of
primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs
and/or multi-site primary care groups, specialist physicians
(individuals and groups) and ancillary services providers for
health plan services. Acts as a liaison to assigned providers to
ensure that all of the groups are effectively informed and updated
by the health plan as necessary. Demonstrates an ability to develop
and manage the relationship with large and complex provider groups
including IPAs and PHOs. Effectively manages individual providers
requiring focused attention. Resolves complex issues effecting
provider relations. EDUCATION/EXPERIENCE A Bachelor's degree in
health care administration, business or a related area is required.
Five years of progressively increasing responsibility and
experience in managed care environment may be substituted for the
Bachelor's degree. A minimum of three years of recent experience as
a provider relations representative, member service representative
or relevant claim experience is preferred. LICENSURE Valid Texas
drivers' license and a reliable vehicle are required.
Keywords: University Health, Austin , Senior Provider Relations Representative, Other , San Antonio, Texas
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