Top 113 Business development center representative Jobs in Greer Sc

Health Plan Provider Relations Representative
Molina Healthcare —Greenville, SC
- $18.85 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
3d
Advanced Quality Engineer
Yanfeng Automotive —Fountain Inn, SC
- Overtime
- Remote
- Travel
- Conflict management
- Experience equivalent to degree accepted
7d
Medical Officer
American Red Cross —South Carolina
- $200,000 - $250,000 a year
- Full-time
- Medicine
- Doctoral degree
- Up to 50% travel
- Health savings account
- Paid holidays
Quick Apply
6d
Site HR Partner - Performance & Care
Syensqo —Spartanburg, SC
- $112,000 - $140,000 a year
- 7 years
- Customer service
- Analysis skills
Quick Apply
Director of Business Development
The Carolina Center for Behavioral Health —Greer, SC
- Full-time
- Psychiatry
- Marketing
- 3 years
- Health insurance
- Dental insurance
Business Development Representative - SMB
ChiroHD —Greenville, SC
- Full-time
- Hybrid work
- Mid-level
- Commercial
- Health insurance
- Dental insurance
Quick Apply
Business Development Representative
South Carolina Federal Credit Union —Spartanburg, SC
- Microsoft Excel
- Microsoft Outlook
- Basic math
14d
Business Development Director
Atlas Healthcare Partners —Greenville, SC
- $93,453 - $137,432 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Sales Assistant
Mungo Homes —Greer, SC
- Weekends as needed
- Microsoft Outlook
- Computer literacy
- Real Estate License
Technical Support - AI Chat and Email - Onsite Greenville, SC
Transcom —Greenville, SC
- From $20 an hour
- Overtime
- 18 years or older
- English
- Research
- Health insurance
- Dental insurance
Business Development Officer, Truist Investment Services, Greenville, SC
Truist Bank —Greenville, SC
- Full-time
- Computer literacy
- Writing skills
- English
- AD&D insurance
- Paid holidays
Sales Account Manager
Estes Express Lines —Greenville, SC
- $64,800 - $103,500 a year
- Full-time
- Pass drug screening
- Mid-level
- Master's degree
Remote Inside Sales Representative
Liberty Mutual —Spartanburg, SC
- $45,000 - $85,000 a year
- Full-time
- Remote
- Customer service
- Organizational skills
- Typing
- Paid training
- Health insurance
Practice Liaison / Healthcare Marketing Representative
Carolinas Center for Oral & Facial Surgery —Greenville, SC
- Full-time
- Dental office
- Mid-level
- Recruiting
- Travel reimbursement
- Mileage reimbursement
1d
Territory Manager - Greenville SC
Reynolds American Inc —Greenville, SC
- Mid-level
- Analysis skills
- Driver's License
- Paid jury duty
- Paid parental leave
District Sales Representative
Cheney Brothers & Affiliates —Greenville, SC
- Full-time
- High school diploma or GED
- Driver's License
- Restaurant experience
- Employee stock purchase plan
- Health insurance
Director of Sales & Marketing | Full-Time | Greenville SC Convention Center
Oak View Group —Greenville, SC
- $90,000 - $105,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Dental insurance
- 401(k)
Financial Advisor Trainee-Greenville, SC
Raymond James Financial, Inc. —Greenville, SC
- Full-time
- Writing skills
- 3 years
- Finance
- Paid holidays
- Health insurance
9d
Help Desk Analyst L1
Zones —Spartanburg, SC
- $22 - $26 an hour
- Full-time
- Hybrid work
- Spanish
- Windows
- US work authorization
- Health insurance
Quick Apply
Pharmaceutical Sales Representative Opportunity with Galt Phranchisee, Excel Pharma, LLC., for the Spartanburg, SC territory.
Galt Pharmaceuticals, LLC. —Spartanburg, SC
- Full-time
- Clean driving record
- Computer literacy
- Mid-level
Quick Apply

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Health Plan Provider Relations Representative

Molina Healthcare -
Greenville, SC

Apply Now

Job Details

Full-time
$18.85 - $38.69 an hour
3 days ago

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

_*Remote and must live in South Carolina*_

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.
Role requires 60%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

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: $18.85 - $38.69 / 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 greer sc

Health Plan Provider Relations Representative

Advanced Quality Engineer

Medical Officer

Site HR Partner - Performance & Care

Director of Business Development

Business Development Representative - SMB

Business Development Representative

Business Development Director

Sales Assistant

Technical Support - AI Chat and Email - Onsite Greenville, SC

Business Development Officer, Truist Investment Services, Greenville, SC

Sales Account Manager

Remote Inside Sales Representative

Practice Liaison / Healthcare Marketing Representative

Territory Manager - Greenville SC

District Sales Representative

Director of Sales & Marketing | Full-Time | Greenville SC Convention Center

Financial Advisor Trainee-Greenville, SC

Help Desk Analyst L1

Pharmaceutical Sales Representative Opportunity with Galt Phranchisee, Excel Pharma, LLC., for the Spartanburg, SC territory.

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