Top 809 Business development center representative Jobs in Flushing, Ny

Representative, Health Plan Provider Relations - Remote Must reside in NY
Molina Healthcare —New York, NY
- $19.84 - $46.42 an hour
- Full-time
- Remote
- Medical office experience
- Mid-level
- Travel
- Health insurance
Information Technology - IT Service Specialist
Aritzia —New York, NY
- $50,000 - $150,000 a year
- Full-time
- Mid-level
- Office
6d
Certified Application Counselors, Bureau of Equitable Health Systems
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $62,868 - $72,298 a year
- Full-time
- Spanish
- Mid-level
- High school diploma or GED
- Wellness program
- Health insurance
Financial Counselor (Sat & Sun 2pm-10pm)
NYU Langone Health —New York, NY
- $36.42 - $37.91 an hour
- Online Application
- Spanish
- Word processing
- Computer literacy
- Wellness program
Administrator Funded Project
NYC Health + Hospitals —New York, NY
- $65,000 a year
- Temporary
- Management
- Research
- Bachelor's degree
- Commuter assistance
- Paid holidays
MAP Sales Representative II
MetroPlusHealth: Direct —New York, NY
- $65,592 a year
- Weekends as needed
- Addiction Medicine
- Mid-level
- Office
- Disability insurance
- Health insurance
3d
Home Care Marketer
Special Touch Home Care —Brooklyn, NY
- $50,000 - $85,000 a year
- 8 hour shift
- Mid-level
- In-person
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Physician Liaison
Being Health —New York, NY
- $70,000 - $95,000 a year
- Part-time
- Hospital
- Mid-level
- Clinic
- Commuter assistance
- Paid holidays
Quick Apply
9d
Financial Advisor (Licensing & Training Provided)
Northwestern Mutual —White Plains, NY
- $61,000 - $250,000 a year
- Full-time
- Background check
- Sales
- 3 years
- Health insurance
- Dental insurance
Personal Injury Sales Representative (Software)
Float Group —New York, NY
- $50,000 - $100,000 a year
- Part-time
- Physical & Rehabilitation Medicine
- Mid-level
- Business development
- Health insurance
- Flexible schedule
Quick Apply
Wealth Management Advisor
Confidential —New York, NY
- $71,000 - $95,310 a year
- Full-time
- Bilingual
- Background check
- Mid-level
- Health insurance
Quick Apply
Inside Sales & Business Development Rep
GREE US —Melville, NY
- $24 an hour
- Full-time
- Marketing
- Mid-level
- Residential
Quick Apply
Medical Equipment Sales Representative - Unlimited Earning Potential
CME Corp —New York, NY
- $90,000 - $150,000 a year
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
1d
Service Business Development Center Representative
Mazda of Lodi —Lodi, NJ
- $70,000 - $120,000 a year
- Full-time
- Dealership
- Public speaking
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
HR Generalist
Russo Development LLC —Carlstadt, NJ
- $80,000 - $90,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Paid holidays
Quick Apply
Account Manager, Pharmacy Partnerships - NY
Optum —New York, NY
- $29 - $52 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Business development
8d
Associate, Paid Media
Precision —New York, NY
- $58,500 - $62,000 a year
- Full-time
- Hybrid work
- Writing skills
- Research
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Early Childhood Education Consultant, Bureau of Childcare
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $77,211 a year
- Full-time
- School experience
- Writing skills
- Mid-level
- Wellness program
- Health insurance
Community Liaison Worker Level ll
NYC Health + Hospitals —New York, NY
- $26.39 an hour
- Part-time
- Mid-level
- Office
- High school diploma or GED
- Commuter assistance
- Paid holidays
10d
Director of Call Center Operations, Bureau of Customer Support
Agency DEPT OF HEALTH/MENTAL HYGIENE —Queens, NY
- $98,159 - $112,883 a year
- Full-time
- Doctoral degree
- Mentoring
- 1 year
- Wellness program
- Health insurance
9d

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Representative, Health Plan Provider Relations - Remote Must reside in NY

Molina Healthcare -
New York, NY

Apply Now

Job Details

Full-time
$19.84 - $46.42 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care
Managed care organization experience
Medical office experience
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
May provide training and support to new and existing provider relations team members as appropriate.

will require to travel at least once a week subject to change.

Required Qualifications

At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

business development center representative jobs in flushing, ny

Representative, Health Plan Provider Relations - Remote Must reside in NY

Information Technology - IT Service Specialist

Certified Application Counselors, Bureau of Equitable Health Systems

Financial Counselor (Sat & Sun 2pm-10pm)

Administrator Funded Project

MAP Sales Representative II

Home Care Marketer

Physician Liaison

Financial Advisor (Licensing & Training Provided)

Personal Injury Sales Representative (Software)

Wealth Management Advisor

Inside Sales & Business Development Rep

Medical Equipment Sales Representative - Unlimited Earning Potential

Service Business Development Center Representative

HR Generalist

Account Manager, Pharmacy Partnerships - NY

Associate, Paid Media

Early Childhood Education Consultant, Bureau of Childcare

Community Liaison Worker Level ll

Director of Call Center Operations, Bureau of Customer Support

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