Provider Relations Representative – LTSS/BH
Location
Virginia
Posted
18 days ago
Salary
$59.3K - $80.9K / year
Seniority
Junior
Job Description
Provider Relations Representative – LTSS/BH
Humana
• Serve as primary relationship manager with assigned LTSS and HCBS providers to ensure positive provider experience with Humana Healthy Horizons and promote network retention • Meet regularly, both in person and virtually, with assigned providers to conduct training and education • Support newly assigned providers with onboarding, including hosting orientation session(s) • Respond to assigned provider inquiries and support prompt issue resolution • Create provider trainings based on provider feedback, trends in claims or process changes • Educate provider on location and content of all provider facing materials • Convene regular meetings with providers • Ensure compliance with all Virginia managed care contractual requirements for provider relations
Job Requirements
- Bachelor's Degree
- 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
- Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
- Demonstrated ability to manage multiple projects and meet deadlines
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid time off
- company and personal holidays
- volunteer time off
- paid parental and caregiver leave
- short-term and long-term disability
- life insurance
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