Provider Relations Representative jobs in Washington

How YOU will make a Difference:

As the Provider Relations Specialist, you will support and Manage strong relationships with Providers, building effective partnerships to better serve our Clients.

What YOU will do:

• Networker and relationship builder: supports and manages strong relationships and issue resolution with HMA Providers.
• Report analysis and management: Oversees and supports escalated Provider issues to resolution.
• Analyzes data (appeals, CRM tasks, payment integrity performance trends, denial trends), proactively assesses issues to provide the best customer service while practicing fiscal responsibility.
• Business subject matter expertise: Understands and brings industry perspective to HMA Operations.
• Independent decision making: Ability to identify and resolve team issues and escalates appropriately any corporate wide impacts.
• Oversees escalated issues: Proactively guides the team to adjust as needed to accelerate issue resolution and properly escalate and document outcomes.
• Promote understanding of HMA payment Integrity programs within the Provider community to minimize abrasion.
• Promote understanding of HMA tribal programs within the Provider community to minimize abrasion.
• Meeting facilitation skills: Create agendas and meeting objectives based on project and program statuses and effectively facilitate meeting content.
• Creates external communications that are professional and promote HMA values.
• Manage provider disruption communications, both internal and external and assess impacts.
• Set and maintain regular meetings with top tier Providers to strong relationships and open lines of communication.
• Primary liaison with Network Provider Relations Department including escalations, Regence changes and processes.
• Understand Provider technology developments and represent projects and evolution of business requirements within the organization.
• Represent the Provider experience related to HMA tools such as Echo and Availity.
• Support of issues related to network adequacy.
• Operational support of Provider Direct contracts.

Knowledge, Experience, and Key Attributes needed for Success:

• Bachelor's degree or equivalent preferred
• 3-5 years of Provider Relations experience
• 3-5 years of clearing house software experience such as Availity
• Experience building and managing productive relationships externally such as partners, vendors, or clients
• Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues
• Great communication skills in order to interact with internal and external stakeholders
• Strong organizational savvy and business acumen

Compensation:

The base salary range for this position in the greater Seattle area is $72,000 - $91,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. In addition, HMA provides a generous total rewards package for full-time employees that includes: seventeen (IC) days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit www.accesshma.com.

Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.

How we Support your Work, Life, and Wellness Goals

We offer a comprehensive total rewards package including: competitive pay; annual incentive; wellness programs; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym; life, AD&D, short and long-term disability insurances; an Employee Assistance Plan with additional mental health support; free parking and easy freeway access to I-405 and I-520; a stocked kitchen on-site with subsidized snacks and refreshments; year-round wellness activities; monthly events; paid volunteer hours and more!

HMA is primarily a remote workforce, requires a reliable internet connection, and provides all hardware. Some roles are required onsite 1-3 days per week/month while other roles are 100% remote.

A background screen prior to employment is required.

Protected Health Information (PHI) Access Healthcare Management Administrators (HMA) employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.

HMA is an Equal Opportunity Employer