Top 203 Relations specialist Jobs in Austin, Tx

IPA, Network Provider Specialist [DALLAS]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
11d
IPA, Network Provider Specialist [HOUSTON]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
11d
HR Support Specialist
Calculated Hire —Austin, TX
- $24 an hour
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
12d
HR Specialist, Employee Relations
Danaher Diagnostics —Austin, TX
- $95,000 - $125,000 a year
- Full-time
- Bachelor's degree
- Travel
- Conflict management
- Health insurance
- Dental insurance
2d
Specialist, School Community Relations
Leander Independent School District —Leander, TX
- $33.25 an hour
- Part-time
- Mid-level
- Criminal background check
- Fingerprint clearance
Employee Relations Specialist
Foundation Communities Inc —Austin, TX
- $28.85 - $31.25 an hour
- Full-time
- Spanish
- Microsoft Outlook
- English
Quick Apply
Senior Media Relations Specialist
Wilson Sonsini Goodrich & Rosati —Austin, TX
- $105,400 - $158,125 a year
- Full-time
- Hybrid work
- Organizational skills
- Senior level
- Communication skills
Team Member Relations Specialist
CommUnityCare Health Centers —Austin, TX
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Communications Specialist
Leander Independent School District —Leander, TX
- $33.25 an hour
- Part-time
- Criminal background check
- Fingerprint clearance
- Entry level
Labor Relations Specialist
Medical Transportation Management (MTM, Inc.) —Austin, TX
- $75,000 - $90,000 a year
- Full-time
- Research
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
4d
HR Operations Specialist II
Firefly Aerospace —Cedar Park, TX
- Full-time
- Mid-level
- 3 years
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
13d
Media Relations Specialist I
University of Texas at Austin —Austin, TX
- $50,000 - $63,000 a year
- Overtime
- Office
- University
- US work authorization
- Retirement plan
3d
Team Member Relations Specialist
Central Health —Austin, TX
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Community Relations Specialist (Clinical Research)
Thermo Fisher Scientific —Austin, TX
- Full-time
- Mid-level
- Office
- Bachelor's degree
PE Specialist
Health & Human Services Comm —Austin, TX
- $4,523.16 - $5,888.50 a month
- Online Application
- Writing skills
- Mid-level
- Office
- Health insurance
- Opportunities for advancement
Quick Apply
10d
Client Relations Specialist- Career Opportunity
Axiom Professional Solutions —Austin, TX
- $60,000 a year
- Full-time
- Mid-level
- Office
- Administrative experience
Quick Apply
2d
Politics & Government Specialist – Freelance AI Trainer Project
Meridial —Austin, TX
- $6 - $65 an hour
- Remote
- Mid-level
- Health insurance
Recruiting Relations Specialist - Trades
DPR Construction —Austin, TX
- $72,000 - $143,000 a year
- Full-time
- Bilingual
- Construction site
- Customer service
- Referral program
11d
Leave Specialist - REMOTE
Ryder System —Austin, TX
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
Operations Support Lead
Texas Department of Transportation —Austin, TX
- $69,572 - $114,099 a year
- Full-time
- 5 years
- Office
- Administrative experience
- Wellness program
- Paid holidays
3d

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IPA, Network Provider Specialist [DALLAS]

Nutex Holdco LLC -
Austin, TX

Apply Now

Job Details

Full-time
11 days ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Life insurance

Qualifications

Vendor relationship building
Managed care organization experience
Gap analysis
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Direct contracting
Vendor relationship management
Training & development

Full Job Description

IPA, Network Provider Specialist [DALLAS]

The IPA Provider Network Specialist manages the physician network by developing and maintaining the assigned IPA/Medical Group. This individual provides service and education to network physicians/providers and achieves company targets by implementing network improvement plans. The representative offers professional work and is responsible for performing activities pertaining to IPA Provider Network Specialist. This job includes traveling to provider offices and working under general supervision. Positions at this level are assigned a broad range of duties in the occupation. The representative uses judgment in selecting appropriate guidelines and applying general policies and procedures.

JOB TYPE: Full-time; On the Road

RESPONSIBILITIES

Completes new provider orientation for all applicable product lines.
Conducts provider group meetings to review monthly/quarterly data and outcomes.
Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.
Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.
Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.
Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures.
Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices.
Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved.
Maintains provider office tools, including provider manual.
Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions.
Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP).
Identifies new cost-saving possibilities through working with various committees, such as UM and Claims.
Understands and explains risk contracts (shared risk/entire risk).
Strategizes for membership growth and retention.
Provide training, mentoring, and guidance to new representatives.
Works on special projects as assigned or directed.

QUALIFICATIONS

Knowledge of MS Office: Word, Excel, PowerPoint, Access Database.
Knowledge of MS Provider relations/customer service strategies.
Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc.
Knowledge of Network development strategies and Provider Relations experience or similar background.
Knowledge of current MSO-VL and MMSE geo-access requirements.
Effective and efficient oral and written communication skills.
Knowledge of County provider demographics.
Skills in negotiating contract language and rate structures.
Skills to provide training and technical assistance to contracted providers.
Skills to evaluate and assess provider network to determine gaps and services needed.
Skills to identify and develop new providers to ensure accessibility.
Skills to monitor contract performance through site visits and data analysis.
Skills to facilitate contracted provider meetings.
Ability to represent the department or division professionally.
Ability to establish and maintain effective working relationships with contracted and potential providers.
Ability to resolve provider inquiries or requests promptly.

REQUIREMENTS

Bachelor's Degree in Marketing or Business Administration
Minimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration.

BENEFITS:

401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Apply Now

Refine Your Search

relations specialist jobs in austin, tx

IPA, Network Provider Specialist [DALLAS]

IPA, Network Provider Specialist [HOUSTON]

HR Support Specialist

HR Specialist, Employee Relations

Specialist, School Community Relations

Employee Relations Specialist

Senior Media Relations Specialist

Team Member Relations Specialist

Communications Specialist

Labor Relations Specialist

HR Operations Specialist II

Media Relations Specialist I

Team Member Relations Specialist

Community Relations Specialist (Clinical Research)

PE Specialist

Client Relations Specialist- Career Opportunity

Politics & Government Specialist – Freelance AI Trainer Project

Recruiting Relations Specialist - Trades

Leave Specialist - REMOTE

Operations Support Lead

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