Provider Relations Representative, Sr. jobs in Worcester, MA

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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Sr Employee Relations Consultant
  • University of Massachusetts Medical School
  • Shrewsbury, MA OTHER
  • Overview

    POSITION SUMMARY: 

    Under the direction of the Director of Employee & Labor Relations, the Senior Employee Relations Consultant provides guidance, support and expertise in employee relations matters to include discipline, coaching, performance management, HR policy interpretation.  Key objectives include ensuring legal compliance and adherence to UMass Chan's policies and procedures are met in a consistent, objective and fair fashion.  Provide guidance to managers and employees on employee relations issues, investigate formal complaints, make recommendations on UMass Chan’s response, and ensure legal requirements are met in terms of employee relations in order to minimize liability to UMass Chan.  This position also collaborates with other HR team members to address organizational needs and contributes to a range of projects to implement HR strategies (i.e., organizational behavior, change management, policy implementation).

    Responsibilities

    ESSENTIAL FUNCTIONS:

    • Lead assigned major/complex projects in a variety of employee relations-related areas. Provide direction and guidance to assigned staff and consultants for the satisfactory performance of projects.
    • Provides mentoring to Employee Relations Consultants and other staff including providing input to reviews, training and developing staff.
    • Partner with and serve as a resource to employees and managers to promote and maintain positive employee relations.
    • Maintain relationships with managers to proactively identify, manage and resolve employee relations concerns.
    • Manage and resolve employee relations matters.
    • Propose resolutions to complex and highly sensitive employee relations issues.
    • Conduct investigations regarding potential misconduct and violations of UMass Chan policy.
    • Write comprehensive fact finding reports on completed investigations.
    • Advise and influence all levels of management regarding resolution employee relations decisions.
    • Interprets and applies UMass Chan policies and procedures, applicable federal and state laws and regulations to decision impacting employer-employee relations.
    • Coach and counsel management and staff on the performance management process.
    • Ensure consistency, communication and collaboration in a matrixed environment.
    • Conduct exit interviews.
    • Uses HR employee relations metrics to identify trends, root causes and propose proactive solutions, programs and best practices in support of the HR strategy.
    • Use HR employee relations metrics to determine trends and develop proactive strategies to minimize employee relations issues.
    • Assists Director of Employee Relations in preparing reports by collecting, analyzing and summarizing data and trends.
    • Proactively minimize legal risk by ensuring client’s comply with UMass Chan S policies and procedures.
    • Participate in employee training programs as required.
    • Ensure employee relations tracking systems are accurate and complete.
    • Supports and promotes the HR mission.
    • Collaborate with HR services to develop and deliver solutions to support client groups.
    • Partners/collaborates with other HR functions to deliver excellent service to the customer.
    • Perform other duties as assigned.

    Qualifications

    REQUIRED QUALIFICATIONS:

    • Bachelor's degree or equivalent experience.
    • 7 years of employee relations experience.
    • Experienced in the interpretation and application of state and federal employment laws & regulations, including but not limited to, the Family Medical Leave Act, MA Paid Family Medical Leave law, the Americans with Disabilities Act, the MA Wage Act, state and federal anti – discrimination statutes.
    • Ability to provide credible HR guidance to and influence management at all levels.
    • Proven experience coaching and counseling all levels of staff on a wide variety of issues, and a thorough understanding of employment law.
    • Excellent organizational skills.
    • Strong written and verbal communication skills.
    • Demonstrates credibility and integrity in communications.
    • Demonstrated experience in conflict resolution, mediation, facilitation.
    • Demonstrated team player.
    • Strong customer focus.
    • Excellent interpersonal skills in order to successfully interface at all levels of the organization.
    • Computer skills in MS office (Excel, PowerPoint, Word), PeopleSoft and HRIS.
    • Strong business acumen and a working knowledge of multiple HR disciplines.
    • Analytical and problem solving skills including the ability to analyze data, understand trends, develop recommendations.
    • Ability to travel between business locations.

    PREFERRED QUALIFICATIONS:

    • PHR or SPHR Certification
    • Lean experience a plus
    • Prior experience in a lead role or with facilitating large complex projects
    • Prior experience with electronic case management systems

    Additional Information

    #LI-AT1

  • 1 Month Ago

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Sr Employee Relations Consultant
  • UMass Med School
  • Shrewsbury, MA FULL_TIME
  • Sr Employee Relations Consultant Minimum Salary US-MA-Shrewsbury Job Location 6 days ago(2/15/2024 3:26 PM) Requisition Number 2024-45464 # of Openings 1 Posted Date Day Shift Exempt Exempt/Non-Exempt...
  • 2 Months Ago

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Coach: Junior Varsity Boys Soccer
  • Hopedale Jr.-Sr. High School
  • Hopedale, MA OTHER
  • Hopedale Jr.-Sr. High School is seeking a Junior Varsity Boys Soccer Coach for the 2024 fall season Resumes and letters of interest should be sent to Stephanie Ridolfi, Athletic Director sridolfi@hope...
  • 2 Days Ago

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Coach: Junior Varsity Girls Volleyball
  • Hopedale Jr.-Sr. High School
  • Hopedale, MA OTHER
  • Hopedale Jr.-Sr. High School is seeking a Junior Varsity Girls Volleyball Coach for the Fall 2024 season. Resumes and letters of interest should be sent to Stephanie Ridolfi, Athletic Director sridolf...
  • 2 Days Ago

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School Psychologist (Grades 7-12)
  • Millbury Memorial Jr/Sr High School
  • Millbury, MA FULL_TIME
  • DESCRIPTION: School Psychologists support students’ learning, social development, and mental and behavioral health using problem solving, assessment, data-based decision-making, and the delivery of ev...
  • 12 Days Ago

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Spanish Teacher (World Language) (Grades 7-12)
  • Millbury Memorial Jr/Sr High School
  • Millbury, MA FULL_TIME
  • DESCRIPTION: Millbury Memorial Junior-Senior High School is seeking a dynamic Spanish teacher possessing a Massachusetts Foreign Language (grades 5-12) license and familiarity with the DESE World Lang...
  • 12 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Worcester, MA area

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Customer Service Representative
  • Sinch Weight Loss
  • Worcester, MA
  • Job Description Job Description We are searching for a dynamic Nurture Specialist with a strong work ethic, a knack for ...
  • 4/18/2024 12:00:00 AM

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Assistant Director of Employer Relations - Career Services
  • Tufts University
  • Medford, MA
  • Overview The Tufts Career Center provides comprehensive career development assistance to undergraduates, graduate studen...
  • 4/18/2024 12:00:00 AM

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Lead Operations Customer Project Manager
  • National Grid
  • Worcester, MA
  • About us National Grid is hiring six Lead Operations Customer Project Managers in our NE Elec Operations organization. T...
  • 4/18/2024 12:00:00 AM

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Entry Level Customer Service Representative
  • Moxie Management
  • Worcester, MA
  • A thriving Customer Service and Sales firm, Moxie Management is a dynamic team that serves the Worcester community with ...
  • 4/18/2024 12:00:00 AM

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Service Supervisor - Jefferson at Dedham Station
  • Greystar Worldwide, LLC
  • Jefferson, MA
  • Oversees and performs technical and mechanical work that ensures the inside and external buildings, grounds, amenities, ...
  • 4/18/2024 12:00:00 AM

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Patient Access Representative II 6:30a-3p, rotating weekends and holidays
  • Conifer Health Solutions
  • Worcester, MA
  • Job Description JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not li...
  • 4/18/2024 12:00:00 AM

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Member Service Representative, Worcester Shrewsbury Street, Part-Time
  • Digital Federal Credit Union
  • Worcester, MA
  • ** Member Service Representative, Worcester Shrewsbury Street, Part-Time** **Job Category****:** Branch Services **Requi...
  • 4/18/2024 12:00:00 AM

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Customer Service Representative
  • Sunbelt Rentals
  • Worcester, MA
  • Location: Location: Customer Service Representative in Worcester, MA at Sunbelt Rentals **Location:** **Experience:** No...
  • 4/16/2024 12:00:00 AM

Worcester has a total area of 38.6 square miles (100 km2), 37.6 square miles (97 km2) of land and 1.0 square mile (2.6 km2) (roughly 2.59%) of water. Worcester is bordered by the towns of Auburn, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, and West Boylston. Worcester is known as the Heart of the Commonwealth, because of its proximity to the center of Massachusetts. The city is about 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield, and 38 miles (61 km) northwest of Providence, Rhode Island. The Blackstone River forms in the center of Worcester by the conflue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$75,456 to $93,576
Worcester, Massachusetts area prices
were up 1.6% 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