We have an opportunity to join the Alliance as a Provider Relations Representative in the Provider Services Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Provider Relations Supervisor, you will research, analyze, and coordinate the resolution of complex provider payment concerns and assists with the resolution of provider issues and grievances. You will also:
- Engage in and facilitate provider recruitment, contracting, communication and relationships in support of strategic organizational objectives
- Respond to providers' educational needs by planning and conducting ongoing provider training and workshops
ABOUT THE TEAM
The Provider Relations team recruits, educates, advocates and supports the Alliance provider network. They are the "Face of the Alliance" and build and maintain strong relationships with providers.
ABOUT THE POSITION
Effective 1/1/24, the Alliance is expanding services into two new counties: San Benito and Mariposa. For this position, travel within Mariposa County is required for this role to support new provider recruitment, to help build and foster provider relationships with the Alliance and to support provider needs. We anticipate 1-2 days of travel per week now, and that will increase up to 3-4 days per week starting in January when we officially go live in the county.
THE IDEAL CANDIDATE
- You are motivated and excited to take be a part of the Alliance’s journey of expanding into a new county
- You understand why being face-to-face with providers is important and you are excited to travel within Mariposa County to be the face of the Alliance for new providers
- You have a background in healthcare and are experienced in working with physicians, other clinicians and front and back office medical staff
- You seek to understand the root-cause of problems and work diligently to resolve them, not stopping or passing the buck to someone else along the way
- You use good judgement, tact and diplomacy when interacting with providers and other stakeholders, especially when managing delicate or sensitive issues
- You take ownership of your work and actively prioritize tasks with competing deadlines, keeping up with timely communication to providers
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here.
- Knowledge of:
- The principles and practices of customer service
- Windows based PC system and Microsoft Word, Excel, Outlook and PowerPoint
- Operating general office equipment, such as personal computer, laptop, telephone, printer, fax machine, and photocopy machine
- Ability to:
- Design and produce reports from a data-base reporting tool
- Conduct research, gather information, analyze data and prepare recommendations and reports
- Proofread and audit data for accuracy
- Develop and implement effective provider recruitment strategies
- Develop and prepare educational materials and conduct provider orientations and trainings
- Apply sales and marketing skills when working with provider networks
- Design work plans and organize work to handle multiple tasks simultaneously
- Education and Experience:
- Bachelor's degree in Business, Marketing, Public Relations, Health Care or a related field
- Two years of experience in a health care, customer service, marketing or public relations environment [two (2) years of additional experience may substitute for the Bachelor's degree]; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
- While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
- Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
- Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.
Additionally, all positions at the Alliance are required to meet these minimum qualifications.
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
- And many more
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Merced, Monterey and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.