Top 217 Customer relations representative Jobs in Cedar Park, Tx

IPA, Network Provider Specialist [HOUSTON]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
IPA, Network Provider Specialist [DALLAS]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Sonar Operator
Socon Sonar Well Services —Texas
- $65,000 - $95,000 a year
- Full-time
- CDL B
- Background check
- DOT physical examination
- Health insurance
- Dental insurance
Quick Apply
Sales Representative
Initial Inc. —Austin, TX
- $1,000 - $2,000 a week
- Full-time
- Background check
- 18 years or older
- High school diploma or GED
Quick Apply
4d
Attorney III - IV (Domestic Relations Office)
Travis County —Austin, TX
- $86,403.20 - $112,340.80 a year
- Full-time
- Word processing
- Writing skills
- 3 years
- Wellness program
- Paid parental leave
Draft Beer Sanitizer
Brown Distributing Company, LTD —Austin, TX
- From $17 an hour
- 8 hour shift
- Ability to walk for extended periods
- Mid-level
- Tuition reimbursement
- 401(k) matching
Quick Apply
Service Technician
Loram Maintenance of Way —Austin, TX
- Background check
- DOT physical examination
- Mid-level
Service Technician-CDL
Loram Maintenance of Way —Austin, TX
- Background check
- DOT physical examination
- Mid-level
Commercial Landscape - Area Manager
Texscape Services —Pflugerville, TX
- $70,000 - $80,000 a year
- Full-time
- Microsoft Word
- 7 years
- Microsoft Outlook
- Paid jury duty
- Health savings account
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Shannon Johnson - State Farm Agent —Cedar Park, TX
- $55,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Marc Nascimento - State Farm Agent —Cedar Park, TX
- $40,000 - $90,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Experience Agent
Alen Corporation —Austin, TX
- $20 - $22 an hour
- Full-time
- Bachelor's degree
- 1 year
- Communication skills
Quick Apply
Resident Relations Specialist 26-26
Housing Authority of The City of Austin —Austin, TX
- From $22.58 an hour
- Full-time
- Hybrid work
- Pass drug screening
- Research
- Driver's License
- Dental insurance
- Employee assistance program
Quick Apply
Community Director - Austin Area
Kairoi Residential —Austin, TX
- $85,000 - $95,000 a year
- Inventory management
- Residential
- Driver's License
Customer Relations Representative - State Farm Agent Team Member
Jarrodd Little - State Farm Agent —Cedar Park, TX
- $65,000 - $80,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
General Manager, The Code Hotel
AvantStay —Austin, TX
- $85,000 - $95,000 a year
- Weekends as needed
- 5 years
- Hotel
- Bachelor's degree
- Mileage reimbursement
- Paid parental leave
People Operations Manager
GetScale —Austin, TX
- $100,000 - $120,000 a year
- Hybrid work
- Mid-level
- Office
- Leadership
- Disability insurance
- 401(k)
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
RYAN TORRES - State Farm Agent —Leander, TX
- $40,000 - $55,000 a year
- Full-time
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Front Desk Agent
Cambria Hotel Austin Uptown near the Domain —Austin, TX
- From $17 an hour
- Part-time
- English
- Hotel
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Leave Specialist - REMOTE
Ryder System —Austin, TX
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance

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customer relations representative jobs near cedar park, tx

IPA, Network Provider Specialist [HOUSTON]

Nutex Holdco LLC -
Austin, TX

Apply Now

Job Details

Full-time

Benefits

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

Qualifications

Vendor relationship building
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Direct contracting

Full Job Description

IPA, Network Provider Specialist [HOUSTON]

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.

ROLE TYPE: 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

customer relations representative jobs in cedar park, tx

IPA, Network Provider Specialist [HOUSTON]

IPA, Network Provider Specialist [DALLAS]

Sonar Operator

Sales Representative

Attorney III - IV (Domestic Relations Office)

Draft Beer Sanitizer

Service Technician

Service Technician-CDL

Commercial Landscape - Area Manager

Customer Relations Representative - State Farm Agent Team Member

Customer Relations Representative - State Farm Agent Team Member

Customer Experience Agent

Resident Relations Specialist 26-26

Community Director - Austin Area

Customer Relations Representative - State Farm Agent Team Member

General Manager, The Code Hotel

People Operations Manager

Customer Relations Representative - State Farm Agent Team Member

Front Desk Agent

Leave Specialist - REMOTE

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