EmblemHealth
Provider Contracting Specialist - Remote
PayCompetitive
LocationNew York/New York
Employment typeFull-Time
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Job Description
- Req#: 6716
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $99,360
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful interactions with healthcare providers and contribute to improving healthcare delivery
- Chance to work on diverse projects and initiatives within the healthcare sector
What to Expect (Job Responsibilities):
- Act as a liaison between providers and the employer, addressing contract disputes and ensuring timely implementations
- Respond promptly and professionally to provider inquiries and support claim inquiries and complaints
- Coordinate communication and education regarding contract terms and related issues across various departments
- Ensure accuracy of provider demographic data and manage requests for changes
- Document outreach activities in compliance with department standards
What is Required (Qualifications):
- Bachelor's degree in a healthcare-related field, public administration, or management
- 3 – 5+ years of direct provider relations experience
- Strong understanding of provider and payor roles, healthcare financing, and delivery systems
- Excellent written and verbal communication skills to articulate requests and represent issues accurately
- Proficiency in Microsoft Office Suite and strong analytical and problem-solving skills
How to Stand Out (Preferred Qualifications):
- Experience in managing multiple projects simultaneously and adapting to changing priorities
- Strong interpersonal skills to maintain effective working relationships with providers and internal departments
- Familiarity with healthcare legislation and quality controls
#HealthcareServices #ProviderRelations #CareerOpportunity #CompetitivePay #HealthcareDelivery
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
EmblemHealth provides all our members the latest plan & health information, including GHI Insurance information. We are dedicated to helping you stay healthy, get well, and live better.