Provider Relations Representative, Sr. jobs in Connecticut
Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Relations Representative, Sr. jobs
Provider Network Manager Sr
- Elevance Health
-
Rocky Hill, CT
FULL_TIME
-
Location: NH-Manchester, MA-Boston, MA-Woburn, MA-Newton, CT-Rocky Hill
Job Description Summary
Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.
How You Will Make An Impact- Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
- Works independently and requires high level of judgment and discretion.
- May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
- May collaborate with sales team in making presentations to employer groups.
- Serves as a communication link between professional providers and the company.
- Ensure that network composition includes an appropriate distribution of provider specialties.
- Conducts more complex negotiations and drafts documents.
- Prepare financial projections and conduct analysis.
- Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
- Experience in fee schedule development using actuarial models strongly preferred.
- Travels to worksite and other locations as necessary.
- 8 Days Ago
Care Consultant Sr (Provider Success)
- Elevance Health
-
Wallingford, CT
FULL_TIME
- Description Care Consultant Sr. (Provider Success) - JR119440 Location : Must reside in Connecticut , within 50 miles (1 hour commute) of our Wallingford, CT office AND be willing to visit providers t...
- Just Posted
Sr. Provider Network Development Specialist
- Southern New England Healthcare
-
Windsor, CT
FULL_TIME
- The Provider Network Development Specialist reports to the Director of Network Management with accountability for recruiting providers to join SoNE Health’s participating provider network. The Provide...
- 16 Days Ago
Provider Network Manager Sr (US)
- The Elevance Health Companies, Inc.
-
WALLINGFORD, CT
FULL_TIME
- Anticipated End Date: 2024-06-05 Position Title: Provider Network Manager Sr (US) Job Description: Location: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint site...
- 18 Days Ago
Client Relations Representative
- Coastal Connections
-
New Haven, CT
FULL_TIME
- We are seeking an enthusiastic and dynamic individual to join our team as a Retail Marketing and Promotions Client Relations Representative. In this role, you will play a vital role in building and ma...
- 5 Days Ago
Guest Relations Representative
- St. Vincent's Medical Center
-
Bridgeport, CT
FULL_TIME
- Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon - Fri 7:30am - 4:30pm Work where every moment matters. Every day, almost 30,000 Hartford HealthCare colleag...
- 17 Days Ago
Provider Relations Representative, Sr. jobs at Popular Companies
Guest Relations Representative
- Six Flags Great Adventure
-
Jackson, NJ
- Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
- 6/10/2024 12:00:00 AM
Donor Relations Representative
- Christus Health
-
Irving, TX
- Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
- 6/10/2024 12:00:00 AM
Customer Relations Representative
- Upstate Niagara Cooperative, Inc.
-
Lancaster, PA
- ** Customer Relations Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO001807 Sh...
- 6/10/2024 12:00:00 AM
Provider Relations Representative
- American Health Plans
-
Milledgeville, GA
- American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
- 6/10/2024 12:00:00 AM
Customer Relations Representative
- Cashdollar Insurance Agency Inc
-
North Versailles, PA
- Job Description Job Description Are you outgoing and customer-focused? Do you enjoy working with the public? If you answ...
- 6/10/2024 12:00:00 AM
Customer Relations Representative
- 3rd Degree Solutions
-
Roseville, CA
- 3rd Degree Solutions is a fast-paced customer acquisition company dedicated to helping our clients expand their customer...
- 6/8/2024 12:00:00 AM
Patient Relations Representative
- Gastro Health
-
Delray Beach, FL
- Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
- 6/7/2024 12:00:00 AM
Team Relations Representative
- Onin Staffing
-
Chattanooga, TN
- Job Description Job Description The On-Site role will be based at a client site. This position is the primary liaison be...
- 6/7/2024 12:00:00 AM
About Connecticut
Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$77,170 to $95,700
Most Popular Cities in Connecticut for Provider Relations Representative, Sr. Jobs
What does a Provider Relations Representative, Sr. do?
Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019