Provider Relations Representative (Merced County)

Provider Relations Representative (Merced County) Location Hybrid remote in Turlock, CA :

We have an opportunity to join the Alliance as a Provider Relations Representative in the Provider Services Department.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Provider Relations Supervisor, you will research, analyze, and coordinate the resolution of complex provider payment concerns and assists with the resolution of provider issues and grievances. You will also:

• Engage in and facilitate provider recruitment, contracting, communication and relationships in support of strategic organizational objectives
• Respond to providers' educational needs by planning and conducting ongoing provider training and workshops

ABOUT THE POSITION

Travel within Merced County is required for this role to build and foster provider relationships with the Alliance and to support provider needs. We anticipate travel to be 2-3 days per week.

THE IDEAL CANDIDATE

• You understand why being face-to-face with providers is important and you are excited to travel within Merced County to be the face of the Alliance for providers
• You value exceptional customer service and are empathetic to other's needs
• You have a background in healthcare and are experienced in working with physicians, other clinicians and front and back office medical staff
• You seek to understand the root-cause of problems and work diligently to resolve them, not stopping or passing the buck to someone else along the way
• You use good judgement, tact and diplomacy when interacting with providers and other stakeholders, especially when managing delicate or sensitive issues
• You take ownership of your work and actively prioritize tasks with competing deadlines, keeping up with timely communication to providers

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here.

• Knowledge of:
• The principles and practices of customer service
• Windows based PC system and Microsoft Word, Excel, Outlook and PowerPoint
• Operating general office equipment, such as personal computer, laptop, telephone, printer, fax machine, and photocopy machine
• Ability to:
  • Design and produce reports from a data-base reporting tool
  • Conduct research, gather information, analyze data and prepare recommendations and reports
  • Proofread and audit data for accuracy
  • Develop and implement effective provider recruitment strategies
  • Develop and prepare educational materials and conduct provider orientations and trainings
  • Apply sales and marketing skills when working with provider networks
  • Design work plans and organize work to handle multiple tasks simultaneously
• Education and Experience:
  • Bachelor's degree in Business, Marketing, Public Relations, Health Care or a related field
  • Two years of experience in a health care, customer service, marketing or public relations environment [two (2) years of additional experience may substitute for the Bachelor's degree]; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

OTHER DETAILS

• While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
• Our Alliance office locations have officially re-opened and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
• Based on the nature of work, this position may require office or field presence, which is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Merced pay range

$58,841—$94,162 USD

OUR BENEFITS

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
• And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet .

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.