Provider Relations Representative, Sr. jobs in West Virginia

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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Community Relations Representative
  • Anthem
  • Martinsburg, WV FULL_TIME
  • SHIFT: Day Job

    SCHEDULE: Full-time


    Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

    A Community Relations Rep is Responsible for developing and maintaining new contacts and/or partnerships in the community.

    Primary duties may include, but are not limited to:

    • Leads and manages strategies within a specific territory or business initiative.
    • Acts as liaison with community advocacy groups that impacts target population.
    • Identifies, develops and builds relationships with community organizations, social service agencies, and faith based organizations
    • Performs activities to enhance presence in the community.
    • Assists members and potential members with benefit and/or enrollments inquiries.
    • Tracks all marketing activities and maintains database.
    • Conducts marketing presentations to increase effectiveness in establishing rapport, assessing individual needs, and communicating product/benefit features and differences.
    • Travel throughout communtiy sites within Jefferson, Berkeley, Morgan, Hampshire, Mineral, Hardy, Grant, Tucker, Pendleton, and Randolph counties.
    • Conducts event planning and program implementation (in-person and virtual)

    Requirements

    • High school diploma; 1-2 years of experience in healthcare or sales/marketing environment; or any combination of education and experience, which would provide an equivalent background.
    • Valid driver's license and access to a motor vehicle with valid motor vehicle insurance required.

    Preferred Qualifications

    • BA/BS preferred.
    • Knowledge about provider network that supports the delivery area, knowledge of plan and/or competitors value added benefits preferred.
    • Residents of Martinsburg or Berkeley County preferred
    • Knowledge of health care industry and managed care and community resources


    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.


    Highschool GED
    2 - 5 years
  • 26 Days Ago

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PracticeLink | Physician/Provider Services Representative
  • PracticeLink/MountainPlex
  • Hinton, WV FULL_TIME
  • Are you humble, hungry and smart? Are you also people smart? At PracticeLink.com, regardless of role or position, these are the personal traits we look for in a potential new colleague and teammate. O...
  • 2 Months Ago

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Intern, External Audit - Fall 2024, Wheeling, WV
  • SR SNODGRASS PC
  • Wheeling, WV INTERN
  • Job Details Job Location: Wheeling - Wheeling, WV Position Type: Internship Salary Range: Undisclosed We are seeking interns to join our audit team for the fall semester. Candidates selected for this ...
  • 2 Months Ago

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Resident Assistant
  • John Manchin Sr. Assisted Living
  • Farmington, WV PART_TIME
  • Job Overview:We are seeking a compassionate and dedicated Resident Assistant to join our team. As a Resident Assistant, you will play a vital role in providing care and support to our residents. This ...
  • 2 Months Ago

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Special Education Teacher Consultant – Lakeview Community Schools
  • Michigan School Public Relations Association
  • Montcalm, WV FULL_TIME
  • This job offer is not available in your country. Position Details Position : Special Education Teacher Consultant Lakeview Community Schools Effective Date : Immediately Circumstances : Staff Transfer...
  • Just Posted

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High school teacher
  • Michigan School Public Relations Association
  • Cass, WV FULL_TIME
  • Position Details Edwardsburg Public Schools a National Blue Ribbon district is accepting applications for a dynamic, energetic High School Business Education Teacher who maintains a positive learning ...
  • 2 Days Ago

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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...
  • 6/2/2024 12:00:00 AM

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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...
  • 6/1/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Partners
  • Sparta, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/1/2024 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 ...
  • 5/31/2024 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...
  • 5/31/2024 12:00:00 AM

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Customer Relations Representative
  • Elite GI.
  • Plano, TX
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 5/31/2024 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...
  • 5/31/2024 12:00:00 AM

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Customer Relations Representative
  • LMI Baton Rouge
  • Baton Rouge, LA
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 5/31/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$64,519 to $80,011

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