Provider Relations Representative (Temp)
Job Type TemporaryDescriptionAre you searching for a fulfilling role that can make a significant difference in healthcare? At Innovista, we're devoted to driving transformative change in this essential sector.
Our independent physician partners achieve exceptional results in every aspect of value-based care, contributing to enhanced patient care and improved practice outcomes.
Innovista Health is a full-service management services organization with a commitment to revolutionizing practice, offering solutions like multi-payer program administration, quality, utilization, and care coordination services, as well as performance improvement insights and reporting.
Innovista Health Solutions, based in Illinois, is an organization with a far-reaching influence, operating in both Illinois and Texas.
At Innovista, we trust in the power of innovative programs and dedicated people to propel us forward in today's ever-changing healthcare market.
This hybrid role, a blend of remote and onsite work, offers the chance to be part of our exciting journey towards a better, more efficient healthcare system.
If you're based in the Houston, TX area, we'd love to hear from you! SUMMARYAs a Provider Relations Representative (PR Rep) at Innovista, you'll be the catalyst managing our assigned Provider Network and forming strong partnerships with our clients on both risk and non-risk programs.
Your role encompasses everything from driving effective provider communication and implementing strategic programs to mediating conflicts.
Acting as the critical link between contracted health plans, providers, and ancillary providers, you'll promote unparalleled customer service and streamlined program operations.
RESPONSIBILTIES Manage and nurture relationships within assigned Provider Groups, encouraging an atmosphere of constructive communication and inventive problem-solving.
Anticipate Provider Group needs, addressing concerns or complaints related to risk/non-risk programs promptly and effectively to maintain satisfaction.
Develop strategic plans with risk/non-risk groups to drive enrollment for specific products tailored to distinct Provider Groups.
Coordinate and lead meetings with Provider Group Office Managers and Care Team training sessions.
Collaborate with the Client, Account Manager, or VP of Account Management to introduce innovative strategies, communication channels, and reporting techniques across all Provider Groups.
Recognize and seize opportunities for process enhancements and increased participation in established risk/non-risk programs within Provider Groups.
Ensure all training sessions, reporting, compliance tasks, and site visits for Provider Groups are completed within established deadlines.
Oversee ongoing procedures, new integration processes, Provider Relations strategic planning, and utilization reporting.
Foster a culture of continuous efficiency and process enhancement, focusing on the application of technology and inventive procedures to boost performance and productivity.
Maintain the Provider Relations database, ensuring it includes all participating physicians and ancillary providers for the assigned territory.
Carry out all provider orientations and site visits within designated timeframes.
Represent Innovista Health in a positive light, supporting its mission, goals, and objectives.
Engage as a cooperative team player, supporting fellow managers, and set an example of high personal and professional conduct for employees and others.
Requirements At least 3-4 years of relevant professional experience, including health care services/managed care/consulting, with a minimum of 2-3 years experience with delegated commercial models.
Valid Driver's License and vehicle required.
Ability to travel at least 50% for client meetings within the state required
Benefits:
At Innovista, we prioritize attracting talented individuals who embody our core values of integrity, determination, and teamwork.
We understand the significance of balancing personal life with work commitments and hence offer a comprehensive benefits package to support our team.
Our offerings include:
A robust health benefits package with subsidized medical insurance, including Flexible Spending Account (FSA), Health Savings Account (HSA), and Health Reimbursement Account (HRA) options, complemented by dental and vision coverage.
Assurance of financial security with company-paid benefits such as short and long-term disability, employee life, and Accidental Death and Dismemberment (AD&D) policies.
A yearly discretionary bonus, enhancing your financial prospects.
A generous paid time off policy that appreciates and rewards your loyalty and tenure with the company.
Paid company holidays and parental leave, ensuring time for relaxation and family.
Access to our Employee Assistance Program, supporting you in times of need.
A 401(k) scheme with a company match, supporting your future financial stability.
The opportunity for flexible work arrangements including remote or hybrid work, and potentially adjustable work hours.
Opportunities for continuous education, fostering personal growth and development.
A Dress for Your Day policy, promoting comfort and individuality.
Access to discounted gym memberships via medical coverage, promoting wellness and health.
Clear career advancement and growth pathways, recognizing your hard work and ambition.
Rewarding employee referral bonuses for expanding our team with like-minded individuals.
An open-door policy that encourages direct communication with our CEO and upper management, fostering transparency and inclusivity in our work culture.
Recommended Skills Account Management Consulting Customer Service Databases Health Care Managed Care Estimated Salary: $20 to $28 per hour based on qualifications.
Our independent physician partners achieve exceptional results in every aspect of value-based care, contributing to enhanced patient care and improved practice outcomes.
Innovista Health is a full-service management services organization with a commitment to revolutionizing practice, offering solutions like multi-payer program administration, quality, utilization, and care coordination services, as well as performance improvement insights and reporting.
Innovista Health Solutions, based in Illinois, is an organization with a far-reaching influence, operating in both Illinois and Texas.
At Innovista, we trust in the power of innovative programs and dedicated people to propel us forward in today's ever-changing healthcare market.
This hybrid role, a blend of remote and onsite work, offers the chance to be part of our exciting journey towards a better, more efficient healthcare system.
If you're based in the Houston, TX area, we'd love to hear from you! SUMMARYAs a Provider Relations Representative (PR Rep) at Innovista, you'll be the catalyst managing our assigned Provider Network and forming strong partnerships with our clients on both risk and non-risk programs.
Your role encompasses everything from driving effective provider communication and implementing strategic programs to mediating conflicts.
Acting as the critical link between contracted health plans, providers, and ancillary providers, you'll promote unparalleled customer service and streamlined program operations.
RESPONSIBILTIES Manage and nurture relationships within assigned Provider Groups, encouraging an atmosphere of constructive communication and inventive problem-solving.
Anticipate Provider Group needs, addressing concerns or complaints related to risk/non-risk programs promptly and effectively to maintain satisfaction.
Develop strategic plans with risk/non-risk groups to drive enrollment for specific products tailored to distinct Provider Groups.
Coordinate and lead meetings with Provider Group Office Managers and Care Team training sessions.
Collaborate with the Client, Account Manager, or VP of Account Management to introduce innovative strategies, communication channels, and reporting techniques across all Provider Groups.
Recognize and seize opportunities for process enhancements and increased participation in established risk/non-risk programs within Provider Groups.
Ensure all training sessions, reporting, compliance tasks, and site visits for Provider Groups are completed within established deadlines.
Oversee ongoing procedures, new integration processes, Provider Relations strategic planning, and utilization reporting.
Foster a culture of continuous efficiency and process enhancement, focusing on the application of technology and inventive procedures to boost performance and productivity.
Maintain the Provider Relations database, ensuring it includes all participating physicians and ancillary providers for the assigned territory.
Carry out all provider orientations and site visits within designated timeframes.
Represent Innovista Health in a positive light, supporting its mission, goals, and objectives.
Engage as a cooperative team player, supporting fellow managers, and set an example of high personal and professional conduct for employees and others.
Requirements At least 3-4 years of relevant professional experience, including health care services/managed care/consulting, with a minimum of 2-3 years experience with delegated commercial models.
Valid Driver's License and vehicle required.
Ability to travel at least 50% for client meetings within the state required
Benefits:
At Innovista, we prioritize attracting talented individuals who embody our core values of integrity, determination, and teamwork.
We understand the significance of balancing personal life with work commitments and hence offer a comprehensive benefits package to support our team.
Our offerings include:
A robust health benefits package with subsidized medical insurance, including Flexible Spending Account (FSA), Health Savings Account (HSA), and Health Reimbursement Account (HRA) options, complemented by dental and vision coverage.
Assurance of financial security with company-paid benefits such as short and long-term disability, employee life, and Accidental Death and Dismemberment (AD&D) policies.
A yearly discretionary bonus, enhancing your financial prospects.
A generous paid time off policy that appreciates and rewards your loyalty and tenure with the company.
Paid company holidays and parental leave, ensuring time for relaxation and family.
Access to our Employee Assistance Program, supporting you in times of need.
A 401(k) scheme with a company match, supporting your future financial stability.
The opportunity for flexible work arrangements including remote or hybrid work, and potentially adjustable work hours.
Opportunities for continuous education, fostering personal growth and development.
A Dress for Your Day policy, promoting comfort and individuality.
Access to discounted gym memberships via medical coverage, promoting wellness and health.
Clear career advancement and growth pathways, recognizing your hard work and ambition.
Rewarding employee referral bonuses for expanding our team with like-minded individuals.
An open-door policy that encourages direct communication with our CEO and upper management, fostering transparency and inclusivity in our work culture.
Recommended Skills Account Management Consulting Customer Service Databases Health Care Managed Care Estimated Salary: $20 to $28 per hour based on qualifications.
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