Provider Relations Representative, Sr. jobs in Columbia, MD

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 Manager
  • Behavioral Health System Baltimore
  • Baltimore, MD FULL_TIME
  • The Provider Relations Manager develops and maintains good relationships with providers and stakeholders in Baltimore City’s Public Behavioral Health System (PBHS). As the local behavioral health authority for Baltimore City, BHSB is tasked with the oversight and management of providers of behavioral health services within the Public Behavioral Health System. This position provides customer service and provides system and regulatory expertise to providers, serving as a contact person for issues regarding the behavioral health provider licensing process, COMAR regulations, and the PBHS. The Provider Relations Manager coordinates and educates new and current providers regarding the requirements of the Public Behavioral Health System.

    Essential Functions

    • Cultivates and maintains positive relationships with behavioral health service providers within Baltimore City’s (Public Behavioral Health System (PBHS).
    • Works collaboratively with other BHSB leaders to design, develop, and implement provider engagement strategies that align with BHSB’s mission and goals.
    • Actively and strategically grows and expands the knowledge/understanding of the organization’s role as the local behavioral health authority among providers utilizing a systemic approach.
    • Serves as the contact person for new providers interested in providing services within the Public Behavioral Health System or providers interested in expanding their programming.
    • Provides guidance, support and leadership to facilitate effective and timely communication between BHSB staff, providers and community providers ensuring effective customer service for BHSB.
    • Reviews and processes agreements to cooperate for new and existing behavioral health providers that operate within the public behavior health system.
    • Oversees the cross-department collaboration process for hosting in-person and virtual provider meetings that effectively communicate information needed to provide high quality service delivery in Baltimore City.
    • Serves as the lead to coordinate BHSB responses to questions and concerns raised by providers.
    • Interacts with providers, community partners and stakeholders to share information and to communicate resources and coordinate activities, goals, standards and expectations for quality service delivery.
    • Represents BHSB at events hosted by behavioral health providers, such as program openings and annual gatherings.
    • Contributes to the development of content for BHSB’s monthly provider e-newsletter
    • Provides oversight and tracking of provider lists within Baltimore City’s PBHS and maintains BHSB’s internal provider database
    • Participates in the planning and execution of BHSB’s events including National Prevention Week, Recovery Month, and others as identified by supervisor.
    • Provides leadership and guidance internally and externally on provider accreditation and licensure requirements within the public behavioral health system.
    • Communicates effectively and professionally with individuals representing diverse cultures and backgrounds in situations which require a high degree of sensitivity, tact and diplomacy.
    • Provides prompt, efficient and responsive service.
    • Works effectively and collaboratively with others, both internally and externally.
    • Upholds and operationalizes the values of BHSB, which are Integrity, Equity, Innovation, Collaboration and Quality.
    • Consistently works to apply a lens of equity, inclusion and anti-racism.
    • Serves as part of BHSB’s disaster response team as needed, in any capacity that is needed.
    • Performs other duties as assigned.

    Knowledge and Skills

    • A Bachelors’ Degree from an accredited US college or university, in psychology, counseling, sociology, social work, public administration, public health or a closely related field. Master’s degree preferred.
    • Knowledge of the behavioral health continuum of care in the public behavioral health system and community-based behavioral health resources, such as the 988 helpline.
    • Knowledgeable of national accreditation bodies of CARF, TJC, COA, and AHCQ as well as Maryland regulations COMAR Regulations for behavioral health service delivery and other best practices.
    • Commitment to providing high-quality customer service
    • Sound judgment in answering questions and releasing information.
    • Excellent written and oral communication skills.
    • Demonstrates cultural competency and knowledge of diversity concepts pertaining to service delivery for persons of diverse backgrounds
    • Basic operation and use of computers and software programs such as databases, word processing and spreadsheets
    • Ability to interact in a virtual environment.
    • Proficient using Microsoft Office Suite Word, Excel, Outlook and PowerPoint (delete/add programs as needed)
    • Current knowledge of trends in the profession
    • Telephone, office, and online etiquette
    • Organizes and prioritizes workload Communicates effectively in writing.

    Supervisory Requirements: This position has no supervisory responsibilities.

    This role may require travel to other locations for meetings and other business-related needs.  Ability to travel locally 50% of the time is required. It is important to have access to some form of transportation to travel to off-site meetings, conferences, and site visits.

    Total Rewards:

    BHSB's compensation strategy is based on our values and culture and is a step in our work toward becoming a justice-oriented, antiracist and inclusive organization. The organization offers its employees a competitive compensation package which includes base pay, comprehensive benefits plan and equitable, hybrid, family friendly work environment and practices.

    This means that starting salaries are based on the requirements of each job and are non-negotiable, that the organization is not favoring people who are comfortable asking for a salary/hourly rate increase. The starting hourly/ annualized salary rate for this position is $75,149.

    The benefits plan includes comprehensive Medical and HRA, Dental and Vision coverage, as well as a choice of 4 FSA plans and an employee paid Legal benefit. BHSB offers employer paid life insurance, short-term and long-term disability as well as a 403(b) plan with employer contribution, generous PTO and 13 days paid holiday. Medical plan participants receive a $5,000/$10,000 debit card to cover eligible deductible and copay expenses, depending on chosen coverage.

    Culture

    BHSB is a nonprofit organization that provides leadership in advancing behavioral health and wellness. We advocate for and help guide innovative approaches to prevention, early intervention, treatment and recovery to help build healthier individuals, stronger families and safer communities. We work to demonstrate cultural competence and a commitment to the infusion of equity and inclusion principles into all areas of our work.

    BHSB respects and values diversity and is committed to creating a culture that is inclusive. BHSB is proud to be an Equal Opportunity Employer. BHSB strives to embody Integrity, Equity, Innovation, Collaboration and Quality in all of our work. We work to demonstrate cultural competence and a commitment to the infusion of equity and inclusion principles into all areas of our work.

    BHSB - About Us

    This position works within the Policy and Communications department, which uses advocacy and communications strategies to advance system change, best practices, and policy reforms, and mobilize community action. The Department implements proactive stakeholder engagement strategies to support, develop, and maintain relationships with the behavioral health provider network in Baltimore City.

  • 9 Days Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Columbia, MD FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Catonsville, MD FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Sykesville, MD FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Glen Burnie, MD FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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Sales Representative - No Experience Req'd - Earn $875-$1,200/Week
  • TruGreen - Sales Representative
  • Gwynn Oak, MD FULL_TIME
  • TruGreen is Hiring Territory Sales Representatives! At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen is a career full of new ...
  • 1 Month Ago

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0 Provider Relations Representative, Sr. jobs found in Columbia, MD area

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Catering Manager
  • Perkins Management Services Comp
  • Washington, DC
  • Are you an experienced Catering Manager that has a passion for catering and working with the public and is looking for a...
  • 3/28/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Catonsville, MD
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative
  • American Wood Fibers, Inc.
  • Columbia, MD
  • **For consideration:** Due to the nature of our raw materials and finished goods, AWF is a tobacco and smoke-free enviro...
  • 3/27/2024 12:00:00 AM

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Customer Service Representative
  • EcoShield Pest Solutions
  • Annapolis Junction, MD
  • Overview: The Shield Co. Management / EcoShield Pest Solutions is one of the fastest growing pest control companies in t...
  • 3/27/2024 12:00:00 AM

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Call Center Representative - Full time
  • Children's National Hospital
  • Silver Spring, MD
  • Register and schedule patients' appointments by telephone utilizing the physician scheduler and individual departmental ...
  • 3/27/2024 12:00:00 AM

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Patient Relations Representative
  • Gastro Health
  • Annapolis, MD
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
  • 3/26/2024 12:00:00 AM

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Remote Contact Center Representative - Full-time
  • Live! Casino and Hotel Maryland
  • Hanover, MD
  • Overview: Why We Need Your Talents: ? Maryland Live Casino is seeking Remote Contact Center Agents to join our dynamic t...
  • 3/24/2024 12:00:00 AM

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K9 Handlers - Explosive Detection
  • MSA Security®, An Allied Universal® Company
  • Laurel, MD
  • Overview MSA Security®, An Allied Universal® Company, is a leading global provider of high consequence threat solutions....
  • 3/21/2024 12:00:00 AM

The center of Columbia is located at 39°12.5′N 76°52′W / 39.2083°N 76.867°W / 39.2083; -76.867. Because it is unincorporated, there is confusion over the exact limits of Columbia. In the strictest definition, Columbia comprises only the land governed under covenants by the Columbia Association. This is a considerably smaller area than the census-designated place (CDP) as defined by the United States Census Bureau. The CDP has a total area of 32.2 square miles (83.4 km2), of which 31.9 square miles (82.7 km2) are land and 0.3 square miles (0.7 km2), or 0.80%, are water. The CDP includes a nu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$73,235 to $90,821
Columbia, Maryland area prices
were up 1.5% 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