Top 125 Provider relations representative Jobs in Arizona

Provider Relations Representative (Remote in AZ - Pima or Pinal)
Imperial Management Administrators Services Inc —Arizona
- $30 - $32 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Marketing
Quick Apply
Provider Relations Representative
EMI Health —Phoenix, AZ
- Monday to Friday
- 1 year
- Communication skills
- Entry level
- Mileage reimbursement
- Health insurance
Quick Apply
1d
Provider Relations Representative
Arizona Priority Care —Chandler, AZ
- $60,000 - $65,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Community Relations Representative
CareMore Health Management Services, LLC —Phoenix, AZ
- $67,349 - $101,023 a year
- Full-time
- Bilingual
- Public speaking
- Master's degree
Quick Apply
11d
Business Development Representative
The Treetop ABA Therapy —Phoenix, AZ
- $70,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Driving
- Pediatrics
- Paid holidays
- Health insurance
Quick Apply
14d
Customer Service Representative – Parent Liaison (Remote)
Cranial Technologies —Tempe, AZ
- $18.50 - $19.00 an hour
- Email
- Remote
- US work authorization
- Fair chance
- Computer skills
- Paid holidays
- Disability insurance
Quick Apply
Supervisor, Provider Network Management
TriWest Healthcare Alliance —Phoenix, AZ
- $64,000 - $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- AD&D insurance
- Disability insurance
Senior Staff Attorney
Navajo Tribal Utility Authority —Fort Defiance, AZ
- Full-time
- 7 years
- High school diploma or GED
- Driver's License
Assistant Dean, College of Natural Sciences
Grand Canyon University —Phoenix, AZ
- Full-time
- Doctoral degree
- 3 years
- Master's degree
- Free parking
- Paid holidays
Quick Apply
2h
Provider Relations Representative (Southwest US)
Sheppard Pratt —Arizona
- $67,999.78 - $108,576.83 a year
- Marketing
- Mid-level
- 3 years
- 403(b) matching
- Mileage reimbursement
Quick Apply
Risk Program Manager
Banner Health —Phoenix, AZ
- Full-time
- Remote
- Nursing
- Hospital
- Customer service
4d
Registered Nurse (Chronic Care Case Manager)
Salt River Pima-Maricopa Indian Community —Scottsdale, AZ
- $83,237 - $114,456 a year
- Full-time
- Background check
- Nursing
- RN License
- Wellness program
- Health savings account
CREDENTIALING ADMINISTRATOR
AFFILIATED DERMATOLOGY —Scottsdale, AZ
- Full-time
- HIPAA
- Research
- Mid-level
- Health insurance
9d
Pathologist
Roche —Tucson, AZ
- $174,000 - $323,100 a year
- Online Application
- Medicine
- Continuous improvement
- 1 year
Wellness Advisor (Medical Sales Representative)
10X Health System —Scottsdale, AZ
- $180,000 - $245,000 a year
- Urgently hiring
- Marketing
- Mid-level
- 3 years
- Health insurance
Quick Apply
Community Affairs & Strategic Accounts Manager
Liberty Utilities —Litchfield Park, AZ
- 5 years
- Bachelor's degree
- Contracts
- Free parking
- Employee assistance program
Superintendent - 100% on-site travel position.
IES Communications —Tempe, AZ
- $40 - $50 an hour
- Full-time
- Microsoft Excel
- Construction site
- Ability to walk for extended periods
- Disability insurance
- Health insurance
8d
Mgt Analyst 2
State of Arizona —Phoenix, AZ
- $51,700.27 a year
- Full-time
- Word processing
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Clinical Director - DHSS-Behavioral Health Services
Colorado River Indian Tribes —Parker, AZ
- $93,475.20 a year
- Weekends as needed
- Background check
- LMFT
- CPR Certification
- Paid holidays
- Health insurance
Quick Apply
Program Manager - Spinal Cord Injury Services
Ability360 —Phoenix, AZ
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Experience working with individuals with disabilities
Quick Apply

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Provider Relations Representative (Remote in AZ - Pima or Pinal)

Imperial Management Administrators Services Inc -
Arizona

Quick Apply

Job Details

Full-time
$30 - $32 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
English
Driver's License
Negotiating purchasing contracts

Full Job Description

Must reside in Arizona in either Pima or Pinal County.

JOB DESCRIPTION

JOB TITLE: Provider Network Administrator FLSA STATUS: Exempt

DEPARTMENT: Provide Network Management

REPORTS TO: Sr. Provider Network Administrator

JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health plans through a full range of provider relations and service interactions to ensure network adequacy, and provider relations. Identify and communicate operational issues raised by providers, respond to customer complaints, customer satisfaction surveys and provider questions, and research and resolve accounts payable issues. Routinely negotiate cost effective fees for single services, confirm service capability and educate providers on contract expectations, processes, and paperwork. Comprehend detailed knowledge of Imperial’s requirements in order to adapt agreements, contractual requirements and fee agreements to the specific situation. Must be able to routinely evaluate and analyze the most beneficial solution for Imperial and our network providers in a variety of circumstances.

ESSENTIAL JOB FUNCTIONS:

1. Complete required Provider Office Face-to Face Visitation (daily, weekly, monthly) as assigned or predetermined by department management.

2. Assess and resolve specific provider concerns, developing and implementing solutions that are beneficial to providers, Imperial Members and Imperial.

3. Maintain network adequacy. Lead efforts to obtain letter of agreements as necessary.

4. Onboard new providers within 10 business days. Train providers on an annual basis.

5. Assess and respond to leads generated by brokers, providers, and customers.

6. Negotiate fees that align provider needs and Imperial business objectives. Educate providers on fee structures to ensure collaborative agreement and understanding of Imperial Services and the fees associated with them.

7. Staff Provider Relations Telephone Queue, adequately respond to and resolve incoming calls in the appropriate manner.

8. Respond to Customer Satisfaction Surveys and Customer Complaints within the required time frame through investigation and problem solving that results in positive outcomes.

9. Provide explanations and information to others on topics within area of expertise.

10. Proactively review and maintain provider compliance documents to ensure active status within provider network.

11. Collaborate with other departments to assign qualified providers to orders within the contractually allowed mileage radius of the patient's home zip code.

12. Maintains regular and consistent attendance.

13. Adheres to Compliance Plan and HIPAA regulations.

MARGINAL JOB FUNCTIONS:

1. Takes on special projects as needed.

2. Performs other duties as assigned.

BEHAVIORAL EXPECTATIONS:

1. Continuous Learning:

a. Attends staff meetings as required.

b. Attends appropriate training, seminars and workshops as required

2. Customer Focus:

a. Maintains client/customer confidentiality and privacy in accordance with HIPPA regulations and IMAS’s Standards of Conduct.

b. Fosters appropriate communication and relations with Supervisor, co-workers and other staff.

3. Quality/Process Improvement/Safety

a. Reports issues of security, health and/or safety to appropriate supervisor as soon as practicable.

b. Supports and demonstrates safety throughout all duties performed.

c. Follows established policies and procedures and understands and complies with all regulators standards set forth by governing entities.

POSITION REQUIREMENTS:

EDUCATION/EXPERIENCE:

 High school graduate or equivalent.

 Bachelor’s Degree (or higher) in Business, Marketing, Communications or healthcare related field

 3+ years of related experience in provider relations, network management, customer service, contract negotiations, account services and/or account management, etc. (or High School Diploma /

GED and 3+ years of related experience)

SKILLS/KNOWLEDGE/ABILITY:

 Must reside in the County where work is assigned

 Microsoft Office Suite (Word, Outlook, Excel

 Knowledge of negotiating rates and managing subcontractor relationships

 Knowledge of Medicare and Medical terminology (preferred)

 Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to residents and staff.

 Willingness and ability to follow written and verbal direction in English.

 Willingness and ability to maintain appropriate level of confidentiality and privacy.

 Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team.

 Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.

 Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.

 Ability to effectively prioritize items/tasks as required.

 Willingness and ability to take initiative and be a self-starter.

 Willingness and ability to understand and comply with Federal, State, and local regulations.

LICENSURE/CERTIFICATE/TRAINING:

 Driver’s License – must have reliable transportation with automobile insurance

Job Type: Full-time

Work Location: Remote

Quick Apply

Refine Your Search

provider relations representative jobs in arizona

Provider Relations Representative (Remote in AZ - Pima or Pinal)

Provider Relations Representative

Provider Relations Representative

Community Relations Representative

Business Development Representative

Customer Service Representative – Parent Liaison (Remote)

Supervisor, Provider Network Management

Senior Staff Attorney

Assistant Dean, College of Natural Sciences

Provider Relations Representative (Southwest US)

Risk Program Manager

Registered Nurse (Chronic Care Case Manager)

CREDENTIALING ADMINISTRATOR

Pathologist

Wellness Advisor (Medical Sales Representative)

Community Affairs & Strategic Accounts Manager

Superintendent - 100% on-site travel position.

Mgt Analyst 2

Clinical Director - DHSS-Behavioral Health Services

Program Manager - Spinal Cord Injury Services

I want to receive the latest job alert for provider relations representative in arizona

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