Provider Relations Representative, Sr. jobs in Greenwood, IN

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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Network and Provider Relations Manager
  • CommuniCare Corporate
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations Manager

    CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage plan in the state of Indiana.

    PURPOSE/BELIEF STATEMENT

    The Network and Provider Relations Manager is responsible for the execution of a strategic plan to recruit, service and support network providers in an assigned geographic area.

    BENEFITS

    As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

    QUALIFICATIONS AND EXPERIENCE REQUIREMENTS

    • Bachelor's degree and a minimum 5 years of experience working in network management and/or provider relations.
    • Must have a working knowledge of Medicare programs.
    • Must possess solid knowledge and understanding of managed care industry; and local market conditions.
    • Proficiency in MS Office Suite
    • Must possess valid driver's license.
    • Must be willing to travel within the service area at least 50% of the time

    KNOWLEDGE/SKILLS/ABILITIES

    • Must have integrity and a strong ethical compass.
    • Must be flexible, able to work independently, and able to achieve deadlines and deliverables with minimal supervision.
    • Must have strong communication skills and ability to work effectively with people coming from diverse cultural and professional perspectives.

    JOB DUTIES AND RESPONSIBILITIES

    • Develop the provider network through contract negotiations, relationship development, and servicing all provider types.
    • Develop and maintain positive provider relationships with provider community by regular on-site visits (may be virtual or in person as needed), communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues.
    • Serve as a knowledge and resource expert regarding the most complex provider issues impacting provider satisfaction, research and resolve the most complex provider issues for prompt resolution.
    • Provide assistance regarding education, contract questions and non-routine claim issues.

    About Us

    A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another.

  • 9 Days Ago

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Network and Provider Relations Manager
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
  • 9 Days Ago

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Senior Provider Relations Advocate - Northern Indiana
  • UnitedHealth Group
  • Indianapolis, IN FULL_TIME
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Carin...
  • 2 Months Ago

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Customer Relations Representative
  • Tokio Marine HCC
  • Carmel, IN OTHER
  • WorldTrips, a member of the Tokio Marine HCC group of companies, is on a mission to become the most innovative travel insurance company in the industry. Our collaborative culture prioritizes the custo...
  • 21 Days Ago

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Customer Relations Representative
  • Smart Solutions
  • Indianapolis, IN FULL_TIME
  • We have an immediate opening for a passionate Customer Relations Representative to join our team. Working closely with our Event Coordinators, this position plays a pivotal role in increasing the avai...
  • 3 Days Ago

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Sr. Field Technician - Pittsburgh, PA/WV (Remote)
  • Signode -Sr. Field Technician
  • Indianapolis, IN FULL_TIME
  • Sr. Field Technician - Pittsburgh, PA/WV (Remote) Apply Now Description/Job Summary Compensation:$35.50 - $42.75/hourly based on experience and backgroundBenefits:Signode offers a comprehensive benefi...
  • 1 Month Ago

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0 Provider Relations Representative, Sr. jobs found in Greenwood, IN area

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Client Service Representative - All Pet Starting at $14 to $20/ Hour
  • Noah's Animal Hospitals
  • Indianapolis, IN
  • Client Service Representative Facility: All Pet Health Care by Noah's Schedule: Full Time - Shifts Vary About the Positi...
  • 3/29/2024 12:00:00 AM

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Mattel Retail Service Team Associate Seasonal - Greenwood, IN 46184
  • Mattel, Inc.
  • Greenwood, IN
  • We're looking for people who are up for the challenge of honoring a seventy-five year legacy by making their own mark in...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative.>
  • Surge Staffing
  • Franklin, IN
  • Surge Staffing - JobID: 500-34-205003-0-3641660-0 [Customer Service Representative] As a Customer Service Representative...
  • 3/28/2024 12:00:00 AM

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FT Customer Service Representative - Work From Home>
  • Dick's Sporting Goods, Inc.
  • Franklin, IN
  • [Customer Support / Remote] - Anywhere in U.S. / Up to $46.2K per year / Benefits - As a Customer Service Rep you'll: As...
  • 3/27/2024 12:00:00 AM

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Pharmacy Customer Associate - BioPlus Specialty Pharmacy
  • Elevance Health
  • Indianapolis, IN
  • Description BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance...
  • 3/27/2024 12:00:00 AM

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Patient Services Representative
  • Goodman Campbell Brain and Spine
  • Greenwood, IN
  • Job Description Job Description Goodman Campbell Team At Goodman Campbell Brain and Spine (GCBS), every member of our te...
  • 3/25/2024 12:00:00 AM

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Guest Relations Representative
  • SureStaff LLC
  • Indianapolis, IN
  • Job Description Job Description SURESTAFF is immediately hiring Guest Relations Representatives for our client that spec...
  • 3/25/2024 12:00:00 AM

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FT Customer Service Representative - Work From Home>
  • Dick's Sporting Goods, Inc.
  • Greenwood, IN
  • [Customer Support / Remote] - Anywhere in U.S. / Up to $46.2K per year / Benefits - As a Customer Service Rep you'll: As...
  • 3/25/2024 12:00:00 AM

Greenwood is a city in Johnson County, Indiana, United States. The population was 49,791 at the 2010 Census, and increased to 56,545 in the Census 2016 estimates. Greenwood is located between Indiana State Road 37 and Interstate 65. The city shares a border with Indianapolis and is the most populous suburb in the southern portion of the Indianapolis Metropolitan Area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$69,401 to $86,067
Greenwood, Indiana area prices
were up 1.3% 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