4 days old

Provider Relations Representative, Affiliate Operations

Providence Health & Services
Torrance, CA 90509
**Providence is calling a Provider Relations Representative, Affiliate Operations (Full time/Day shift) to Providence Medical Institute. This position will support San Fernando Valley markets (Burbank, Northridge, Mission Hills).**
**We are seeking a Provider Relations Representative, Affiliate Operations** who will function as a liaison among the contracted physician/specialist offices and Providence St. Joseph Health. This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
**In this position you will:**
+ Foster a close working relationship with assigned physician offices and visits assigned offices routinely. Identify concerns/issues and opportunities for improvement, research and resolve issues for provider offices, and provides accurate and timely answers. Assist provider offices in ensuring compliance with Providence St. Joseph Health and Health Plans
+ In-services new and established physician offices on policies and procedures of Providence St. Joseph Health, Network Support Services (NSS) and Health Plans. Provide on-going education to assigned offices regarding such policies and procedures
+ Educate physician offices on Point of Care Tools (e.g., Ascender and Physician Connect)
+ Document all site visits and provider issues for trending and reporting
+ Act as a liaison with various Providence St. Joseph Health Departments and physician offices and Health Plans to resolve provider issues and facilitate notifications
+ Coordinate and attend health fairs, senior events, employer events and various enrollment functions to promote network
+ Conduct physician office staff meetings and other network meetings as needed
+ Travel based on business needs
+ Assist with business development as assigned
+ Demonstrate values-based competencies in line with the Core Values that are the foundation of all activities performed by caregivers in order to achieve the Mission of Providence St. Joseph Health
+ Demonstrate age appropriate communication skills for the population served. Information Management: Treat all information and data within the scope of the position with complete confidentiality and security. Maintain all practices to protect PHI and follow HIPAA guidelines. Risk Management: Cooperate fully in all risk management activities and investigations. Safety Requirements: Is knowledgeable of, observe and comply with Codes of Safe Practice, safety policies and emergency procedures
**Required qualifications for this position include:**
+ H.S. Diploma or GED
+ 1 year working with physicians in a managed care/IPA, medical group, health plan or MSO environment with prior Provider Relations or Customer Service experience
+ Basic computer skills including Microsoft Word, Windows, Excel and an e-mail system
+ Ability to travel between Providence St. Joseph Health locations and other locations based on business needs with valid California Driver's License required
+ Knowledge of medical terminology, medical billing and medical office procedures
+ Strong interpersonal and organizational skills to achieve desired goals and to interact effectively with management and non-management staff and physician groups
+ Attention to detail and follow-up skills
+ Must be able to maintain a positive attitude under changing conditions
+ Must be able to seek out available resources to resolve problems
+ Must be able to work under minimal supervision
+ Must have a professional and mature demeanor
+ Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information
**Preferred qualifications for this position include:**
+ Bachelor's Degree in Healthcare Management highly desirable
+ 2 years managed care Provider Relations experience
+ Intermediate to advanced skills in Microsoft Excel, Word, Outlook and IDX
+ Advanced knowledge of managed care principles and methodologies
**About the hospital you will serve:**
Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.
**We offer a full comprehensive range of benefits - see our website for details**
**Our Mission**
As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
**About Us**
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Analytics/Business Intelligence
**Location:** California-Torrance
**Req ID:** 252822


Posted: 2020-05-21 Expires: 2020-06-20

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Provider Relations Representative, Affiliate Operations

Providence Health & Services
Torrance, CA 90509

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