Provider Relations Representative, Sr. jobs in Arvada, CO

Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations and Network Contracting
  • Trek Healthcare, LLC
  • Denver, CO FULL_TIME
  • Description

    Provider Relations and Network Contracting develops the provider network through contract negotiations, relationship development, and servicing for affiliated physician groups. Primary focus of this role is identifying and recruiting providers based on network composition and needs. Deals with affiliated providers and drives and supports value base initiatives.

    The role evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Physician providers and ensuring the network composition includes an appropriate distribution of providers.

    Responsibilities

    • Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
    • Establish and maintain strong business relationships with assigned providers and internal partners
    • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
    • May assist with identifying and recruiting providers based on network composition and needs.

    Required qualifications:

    • Experience and accustomed to building brand new networks
    • Experience with direct provider contracting.
    • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
    • Experience in developing and managing key provider relationships

    Job Type: Full-time

    Pay: $60,000.00 - $75,000.00 per year

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Denver, CO: Relocate before starting work (Required)

    Work Location: In person

  • 23 Days Ago

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Provider Relations Specialist
  • SpineOne
  • Lone Tree, CO FULL_TIME
  • The Provider Relations Specialist is a positive, sales goal-oriented, professional who excels in environments that monetarily reward performance. This is an external facing sales role that will repres...
  • 1 Month Ago

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Sr. Associate, Provider Integration
  • Strive Health
  • Denver, CO FULL_TIME
  • Sr. Associate, Provider Integration Strive is seeking a highly motivated and strategic individual for the OSH Strategic Operations Manager position. This role will be responsible for the internal coor...
  • 20 Days Ago

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Payer Relations Representative
  • Children's Hospital Colorado
  • Aurora, CO FULL_TIME
  • Job ID85741 LocationAurora, Colorado Full/Part TimeFull-Time Regular/TemporaryRegular Why Work at Children's.... Here, it's different. Come join us.Children's Hospital Colorado has defined and deliver...
  • 25 Days Ago

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University Relations Representative
  • Canvas Credit Union
  • Lone Tree, CO FULL_TIME
  • General Purpose The University Relations Representative will support the efforts of the Director of University Relations and affiliated staff in growing the partnerships with all of Canvas Credit Unio...
  • 12 Days Ago

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University Relations Representative
  • Canvas
  • Lone Tree, CO FULL_TIME
  • General Purpose The University Relations Representative will support the efforts of the Director of University Relations and affiliated staff in growing the partnerships with all of Canvas Credit Unio...
  • 12 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Arvada, CO area

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Customer Service Insurance Representative
  • CO Insurance Specialist
  • Wheat Ridge, CO
  • Job Description Job Description CO Insurance Specialist is looking for a licensed customer service representative to joi...
  • 3/28/2024 12:00:00 AM

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Floating Branch Transaction Specialist
  • UMB Financial Corporation
  • Denver, CO
  • UMB begins with YOU! We measure success in how we use every transaction and interaction to improve our customer's financ...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (CSR)
  • AWP Safety
  • Denver, CO
  • Company Description AWP Safety Company, is North America's leading traffic control specialist. Our team of 6,500 profess...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative Level 2
  • WebBank
  • Denver, CO
  • Location Denver, CO, Salt Lake City UT, or Remote work availability Additional Information For employees based in Colora...
  • 3/28/2024 12:00:00 AM

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Food Service Provider - Solutions Center - Sat/Sun 7am to 4pm
  • Mental Health Center of Denver
  • Denver, CO
  • **Food Service Provider - Solutions Center - Sat/Sun 7am to 4pm** at Mental Health Center of Denver - All External Jobs ...
  • 3/28/2024 12:00:00 AM

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Assistant Service Manager
  • Pep Boys Inc
  • Denver, CO
  • **** **Assistant Service Manager** **Assistant Service Manager** **Requisition ID:** 116951 **Category:** Service Desk *...
  • 3/28/2024 12:00:00 AM

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Customer Experience Analyst, Healthcare Software Group
  • Huron Consulting Group
  • Denver, CO
  • Customer Experience Analyst, Healthcare Software Group page is loaded **Customer Experience Analyst, Healthcare Software...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative - Arvada, CO - 2034790
  • New West Physicians
  • Arvada, CO
  • **COVID-19 VACCINATION REQUIREMENT UPDATE:** We have updated our COVID-19 policy for new and existing employees. Learn m...
  • 3/24/2024 12:00:00 AM

Arvada /ɑːrˈvædə/ is a Home Rule Municipality in Jefferson and Adams counties, a part of the Denver-Aurora-Lakewood, CO Metropolitan Statistical Area of the U.S. state of Colorado. As of the 2010 census the population was 106,433, and in 2016 the estimated population was 117,453, ranking Arvada as the seventh most populous municipality in Colorado. The Olde Town Arvada historic district is 7 miles (11 km) northwest of the Colorado State Capitol in Denver. Arvada is located in northeastern Jefferson County at 39°49′12″N 105°6′40″W / 39.82000°N 105.11111°W / 39.82000; -105.11111 (39.819962, -...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$72,520 to $89,934
Arvada, Colorado area prices
were up 0.4% from a year ago

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020