Provider Relations Representative, Sr. jobs in Delaware

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)

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Medicaid Provider Relations Call Center Supervisor
  • The ACI Group, Inc.
  • Newark, DE FULL_TIME
  • Medicaid Provider Relations Call Center Supervisor, Newark, DE


    • Full-time
    • 100% On-Site for initial 3 months, then 2-3 days/weeks after that.
    • Due to our client requirements, we can only consider US Citizens or Green Card Holders for this position
    • NO THIRD PARTY RECRUITERS PLEASE! CANDIDATES MUST BE SELF-REPRESENTED.
    • Salary Range: $55,500 - $79,300


    Description


    Our client is seeking a Medicaid Provider Relations Call Center Supervisor (On-site) to support a Medicaid program.


    Responsibilities


    • Supervises functional areas or department account leads on smaller sized or segments of larger accounts to ensure that business solution objectives are met.
    • Develop demand forecasts with account teams to assist functional areas or departments in planning and delivering end-to-end services.
    • Works with functional areas or departments to interpret and plan projects or workload forecasts. Identifies and oversees the resolution of account-specific service problems including prioritizing work requests.
    • Monitors and approves expenditures for accounts in line with the established policies and procedures. Oversees spending for adherence to budget, and recommends variances as needed.
    • Works closely with the management team, lines of service, and clients to help manage complex relationships between delivery and consumer groups to ensure good client relations.


    Requirements


    • Bachelors Degree is required.
    • Minimum of 4 years of experience managing provider relations functions for a Medicaid Program, other government healthcare program, or healthcare-related organization.
    • Experience or training in member eligibility management and significant experience in a call center operation are required.
    • Good project management skills.
    • Good analytical and problem-solving skills.
    • Good interpersonal skills to interact with customers and team members.
    • Good communication skills.


    Please Note:


    • Only those individuals selected for an interview will be contacted.
    • No calls, inquiries, or Third-Party Vendors please.
    • We are an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences. (The ACI Group is unable to sponsor H1B Visas).
    • $1000 Referral Bonus - www.aci.com.


    Since 1988, The ACI Group, a Baltimore-based staffing firm, has been committed to hiring the industry's leading professionals, and presenting exciting career opportunities. We have access to varied types of contract, permanent and contract-to-perm positions and offer a choice of employment options including a full benefits package.

  • 3 Days Ago

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Corporate Relations Representative
  • Sunday Breakfast Mission
  • Wilmington, DE FULL_TIME
  • MinistryHub is honored to partner with Sunday Breakfast Mission in their search for a Corporate Relations Representative. Please direct all applications through MinistryHub and any inquiries to hello@...
  • 26 Days Ago

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Provider Enrollment Representative
  • Gainwell Technologies
  • Newark, DE FULL_TIME
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have ...
  • 2 Days Ago

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Sr HR Representative
  • Supply Chain
  • Dover, DE FULL_TIME
  • Sr HR Representative Do you enjoy working in a team environment providing strategic counsel and advisory services to leaders on business and people related issues? Do you take an energetic and influen...
  • 10 Days Ago

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Customer Relations Representative - HIRING ALL SHIFTS!!!!
  • Air Temp Solutions
  • Castle, DE FULL_TIME
  • Would you like a career where you are an important part of a team that truly helps customers? Do you enjoy problem solving and communicating with people? If so, then we have the position for you! If y...
  • 18 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • David Soleye - State Farm Agent
  • Wilmington, DE FULL_TIME
  • Position Overview State Farm Insurance Agent located in Wilmington, DE is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for David Soleye - State Far...
  • 5 Days Ago

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Customer Relations Representative
  • Bruno
  • Oconomowoc, WI
  • Overview This position is responsible to serve customers via a call-center. Provide product and sales information, proce...
  • 6/11/2024 12:00:00 AM

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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

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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

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Customer Relations Representative
  • Olympus Executives
  • Garland, TX
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 6/10/2024 12:00:00 AM

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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

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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

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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

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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

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$72,930 to $90,443

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