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Inspire health. Serve with compassion. Be the difference.
Job Summary
The Provider Relations Coordinator - CIN is accountable for the overall client/member services, communications, and engagement of the provider/physician practices in the region and is the direct interface between the Clinically Integrated Network (\u201CCIN\u201D) and assigned provider/physician practices. This individual acts as a liaison between network leadership and the providers so that both, in unison, are meeting the goals of the organization. This individual is involved in the continuous process of development and education of providers and staff as it relates to goals, policies, and procedures defined by the network.* Serves as a liaison with the network\u2019s provider partner/member organization(s) and meet with key leaders at\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
\u00A0\u00A0 partner/member organizations.\u00A0 20%
* Develops and coordinates all new and continuing provider relations training and education.\u00A0 15%
* Forges relationships with providers interested in participating with the network.\u00A0 15%
* Manages and coordinates network provider site visits.\u00A0 15%
* Develops and implements a provider relations communication plan to ensure the development of newsletters,\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
\u00A0\u00A0 informational materials, news releases, instructional materials, and website content.\u00A0 15%
* Responds to and resolves questions or concerns from providers or their office staff in a timely and service-oriented
\u00A0\u00A0 manner\u00A0 .5%
* Assesses physician performance and make recommendations in collaboration with the care model committee for
\u00A0\u00A0 corrective action.\u00A0 5%
* Assists with the administration of all provider/facility contracts to ensure network contracts meet all regulatory,\u00A0\u00A0\u00A0
\u00A0\u00A0 payer, and accreditation requirements.\u00A0 5%
* Communicates provider manuals (including policies and procedures) appropriate to the network.\u00A0 5%
Bachelor's Degree -\u00A0Business Administration or other relevant healthcare field.\u00A0\u00A0
5 years -\u00A0Managed care experience in either healthcare provider or health plan setting required.\u00A0 Experience in a\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0 physician led hospital organization or related setting preferred.\u00A0 \u00A0
Regional travel\u00A0and flexibility with extended hours\u00A0- Required
Excellent organizational, prioritizing and planning skills as well as reporting and tracking skills\u00A0- Required
Excellent oral and written communication skills with all levels of staff and clients as well as strong customer service, communication, and negotiation skills\u00A0- Required
Working knowledge of health care procedural and diagnostic billing codes (e.g., CPT, HCPCS, and ICD-9-CM)\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0 \u00A0Preferred
Work Shift
Day (United States of America)Location
Corporate Main StFacility
7002 Value-Based Care and Network ServicesDepartment
70029144 Network Admin Services-MidlandsShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Job Summary
The Provider Relations Coordinator - CIN is accountable for the overall client/member services, communications, and engagement of the provider/physician practices in the region and is the direct interface between the Clinically Integrated Network (\u201CCIN\u201D) and assigned provider/physician practices. This individual acts as a liaison between network leadership and the providers so that both, in unison, are meeting the goals of the organization. This individual is involved in the continuous process of development and education of providers and staff as it relates to goals, policies, and procedures defined by the network.* Serves as a liaison with the network\u2019s provider partner/member organization(s) and meet with key leaders at\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
\u00A0\u00A0 partner/member organizations.\u00A0 20%
* Develops and coordinates all new and continuing provider relations training and education.\u00A0 15%
* Forges relationships with providers interested in participating with the network.\u00A0 15%
* Manages and coordinates network provider site visits.\u00A0 15%
* Develops and implements a provider relations communication plan to ensure the development of newsletters,\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
\u00A0\u00A0 informational materials, news releases, instructional materials, and website content.\u00A0 15%
* Responds to and resolves questions or concerns from providers or their office staff in a timely and service-oriented
\u00A0\u00A0 manner\u00A0 .5%
* Assesses physician performance and make recommendations in collaboration with the care model committee for
\u00A0\u00A0 corrective action.\u00A0 5%
* Assists with the administration of all provider/facility contracts to ensure network contracts meet all regulatory,\u00A0\u00A0\u00A0
\u00A0\u00A0 payer, and accreditation requirements.\u00A0 5%
* Communicates provider manuals (including policies and procedures) appropriate to the network.\u00A0 5%
Bachelor's Degree -\u00A0Business Administration or other relevant healthcare field.\u00A0\u00A0
5 years -\u00A0Managed care experience in either healthcare provider or health plan setting required.\u00A0 Experience in a\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0 physician led hospital organization or related setting preferred.\u00A0 \u00A0
Regional travel\u00A0and flexibility with extended hours\u00A0- Required
Excellent organizational, prioritizing and planning skills as well as reporting and tracking skills\u00A0- Required
Excellent oral and written communication skills with all levels of staff and clients as well as strong customer service, communication, and negotiation skills\u00A0- Required
Working knowledge of health care procedural and diagnostic billing codes (e.g., CPT, HCPCS, and ICD-9-CM)\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0 \u00A0Preferred
Work Shift
Day (United States of America)Location
Corporate Main StFacility
7002 Value-Based Care and Network ServicesDepartment
70029144 Network Admin Services-MidlandsShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.