Provider Relations Representative
key family of companiesColumbus, OH
Provider Relations Representative
L5
key family of companiesColumbus, OHtoday
Occupations
Patient RepresentativesSales Representatives of Services, Except Advertising, Insurance, Financial Services, and TravelSales Representatives, Wholesale and Manufacturing, Technical and Scientific ProductsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsDirect Health and Medical Insurance CarriersInsurance Agencies and BrokeragesProvider Relations Representative Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. This position includes a comprehensive benefit package and competitive salary! The Provider Relations Representative will be responsible for the strategic direction, while maintaining successful oversight of all network relationships, network development, coordination, compliance, and contract functions of network management for the Key Family.
Essential Duties and Responsibilities:
Relationship oversight of all current and potential networks.
Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family.
Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship.
Maintain market intelligence on competitive landscape.
Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.
Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships.
Oversee elevated network issues to resolution escalating to VP as necessary.
Be available for occasional network/client related travel as needed.
Perform additional related duties as assigned.
Does this sound like you?3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.
Proven abilities in written and verbal communication, as well as presentation skills.
Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.
Ability to multi-task and work under deadlines.
Strong organizational, problem solving and analytical skills.
Highly experienced in relationship management with networks, clients and/or brokers.
Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.
People and team oriented.
Knowledge of conducting remote meetings using Zoom is a plus.
Detailed understanding of operational areas of health insurance is a plus.
If you are unable to complete an application for the Provider Relations Representative position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.
All qualified applicants for the Provider Relations Representative position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender.
Apply now
Level
SeniorL5
Location
Columbus, OH
Occupation
Patient Representatives
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
today
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