Top 7 Provider relations Jobs in Philadelphia Pa

Field Provider Relations Representative
SKYGEN USA —Southeastern, PA
- $62,676 - $94,014 a year
- Full-time
- Dental office
- Microsoft Excel
- Research
Physician Liaison
Shriners Hospitals for Children —Philadelphia, PA
- $80,926.56 - $121,378.40 a year
- Full-time
- 18 years or older
- Marketing
- Mid-level
Quick Apply
Provider Relations Specialist- PA
Accanto Health —Philadelphia, PA
- $95,000 - $125,000 a year
- Evenings as needed
- Remote
- Marketing
- Mid-level
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
14d
Senior Physician Liaison
Penn Medicine —Radnor, PA
- 8 hour shift
- Hybrid work
- 7 years
- Administrative experience
- Mentoring
- Tuition reimbursement
Quick Apply
LCSW / LPC / LMFT – Remote + Hybrid | Flexible Schedule | Join the Cerevia Provider Network
Cerevia Behavioral Health Group LLC —Glen Mills, PA
- Up to $150 an hour
- Choose your own hours
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Flexible schedule
Quick Apply
Physician Liaison
Fyzical —Delran, NJ
- Full-time
- Marketing
- Mid-level
- Clinic
- Mileage reimbursement
Physician Liaison
FYZICAL Therapy and Balance Centers —Delran, NJ
- $45,000 - $50,000 an hour
- Full-time
- Marketing
- Mid-level
- Clinic
- Mileage reimbursement
Quick Apply

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Physician Liaison
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Valid driver's license and reliable transportation. Log visit notes and outcomes in the CRM the same day, so field activity is reflected accurately, and…
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Provider Relations Representative
Key Family of Companies —Columbus, OH
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Field Provider Relations Representative

SKYGEN USA -
Southeastern, PA

Apply Now

Job Details

Full-time
$62,676 - $94,014 a year

Qualifications

Microsoft Excel
Customer relationship building
Client relationship development
Medicaid
Productivity software

Full Job Description

What are important things that YOU need to know about this role based in Pennsylvania?

Seeking a self-driven rock star that has Medicaid experience - located in southeastern PA, Philadelphia area.
Given the nature of the work, the person will be in field 3 to 4 days per week and working from a home office the remainder of the time.

What will YOU be doing for us? Provide support to specific market by researching, working with internal staff, and providing resolution to high value providers. Utilize knowledge of market and potential providers to resolve specific network deficiency issues through proper recruiting practices.

What will YOU be working on?

Build and maintain appropriate relationships with provider network by ensuring regular communications and timely problem resolution.
Conduct annual dental office visits.
Conduct site audit data collection.
Conduct mobile unit audits.
Develop training and presentation materials relative to market needs.
Host regular training sessions for new and existing providers.
Promote use of Dental Hub (provider web portal).
Act as resource to both client and providers in the network to resolve complex claim and authorization issues.
Utilize the provider-related modules in the Enterprise System to research claim and reimbursement questions.
Accurately and timely assess issues presented from provider offices that can be handled by other internal resources and provide offices with appropriate contacts to obtain resolution.
Utilizing follow up requests from internal staff or client direction, recognize potential market deficiencies and network to obtain referrals for potential providers.
Recruit and work with potential providers to discuss potential contract terms or negotiations needed to resolve network deficiencies.
Through establishment of positive relationships with providers in the geography, arrange care with out of network providers for single case agreements including recommending a provider, negotiating the fee and securing the single case agreement contract.
Using automated systems, maintain updated data on client owned provider networks by verifying accuracy and handling any exceptions or issues.
Coordinate and conduct provider advisory board meetings.
Identify appropriate community relationships and develop partnerships designed at increasing visibility of client programs.
Support Credentialing and Network Development strategies.

Additional Responsibilities:

Provide feedback to Provider Relations team regarding potential topics for provider training references and materials.
Assist department with administrative tasks and additional duties as needed.
Work with Clients and Providers to analyze market, system and operational trends and develop and propose solutions and interventions to improve the client/provider/member experience and/or reduce costs.
Document provider communication within organization applications.
Work with Clients and Providers to analyze market, system and operational trends and develop and propose solutions and interventions to improve the client/provider/member experience and/or reduce costs.

What qualifications do YOU need to have to be GOOD candidate?

Bachelor’s degree in a related field or equivalent years of experience.
3-5 years of job related experience (provider relations, account management, or managed care).
Excellent communication written and verbal communication skills.
Ability to think strategically regarding the direction of the market, provider needs and the client relationship.
Ability to build and maintain collaborative working relationships with diverse individuals.
Ability to exercise influence without formal authority.
Ability to ensure timely problem resolution despite multiple priorities.
Intermediate knowledge of Microsoft Office products including Word, Excel, and email.

What qualifications do YOU need to have to be GREAT candidate?

Bachelor’s Degree in Business or a related field.
Experience in a managed care environment.
Experience working in the field or with field issues.
Experience with government dental programs.

Pay: $62,676.00 - $94,014.00 per year

Work Location: On the road

Apply Now

Refine Your Search

provider relations jobs in philadelphia pa

Field Provider Relations Representative

Physician Liaison

Provider Relations Specialist- PA

Senior Physician Liaison

LCSW / LPC / LMFT – Remote + Hybrid | Flexible Schedule | Join the Cerevia Provider Network

Physician Liaison

Physician Liaison

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