Associate Representative, Health Plan Provider Relations - Remote must reside in UT
hckd.fa.us2.oraclecloud.com.CX_1
Apply to this jobJOB DESCRIPTION Job Summary *Must go to field as needed* Provides entry level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures. Essential Job Duties • Provides support for provider-related inquiries; successfully engages with providers and maintains provider satisfaction primarily for non-complex providers including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers. • Receives, researches, and resolves provider inquiries such as claims, eligibility, and other inquiries, and represents as a liaison between the providers, medical groups and the health...
Summary
Supports provider relations, network management, provider training, and inquiry resolution.
Job title
Associate Representative, Health Plan Provider Relations
Experience level
entry level
Minimum experience
0+ years exp
Industry
healthcare
Location requirements
remote, must reside in Utah
Salary
Not specified
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
Utah, USA