Liaison • clovis ca
Provider Relations Representative.The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely ma...[internal_linking.show_more]
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Provider Relations Representative
The Provider Relations Representative is responsible for addressing provider issues, applying resolutions, and responding to inquiries in an accurate and timely manner for both participating and non-participating providers. The Provider Relations Representative trains new and existing providers in accordance to Community Care Health (CCH) policies and procedures and completes provider on-site audits. Additionally, this position delivers provider relations support to internal departments, including but not limited to Contracting/Network Management, Quality, Compliance, and Medical Management. The provider representative also leads small projects for the department.
Key Responsibilities:
On-site (Base office at Shaw) when not traveling to providers offices. This position will have heavy field travel to provider offices.
Education:
Experience:
Pay ranges listed are an estimate and subject to change.
If any bonuses are noted, they are only applicable to external hires meeting criteria.
