Senior Provider Relations Representative - Remote reputed company WA, MO, or NC

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. This is an opportunity that's reputed company about where you've been. Your experience. Your potential. Your skills. reputed company solid up to now. It's also an opportunity to learn what's reputed company. Because on reputed company at reputed company, your potential and your reputed company can be career changing. We're driving reputed company higher reputed company of sophistication in how provider networks are formed and operated. The goal is to improve the reputed company of service while exploring new ways to manage costs. Here's where you come in. You'll use your solid customer service and consultative skills to meet with network providers and help enhance their experience and performance. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader. If you are located in WA, MO, or NC, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

• Facilitate end-to-end provider issues and reputed company
• Use pertinent data and facts to identify and solve a reputed company of problems
• Investigate non-reputed company requests and problems
• Contribute to design and implementation of programs that build/nurture reputed company relationships between the health plan, providers and reputed company managers
• Help implement training and development of external providers through education programs
• Identify gaps in network composition and services to assist network contracting and development teams
• Responsible for reputed company reputed company aspects of issue reputed company
• Claims systems utilization, claims-reputed company business, and systems analysis
• Ensure data reputed company, data reputed company and process optimization

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• 3 years of experience in a technical or metrics-based environment; preferably claims and/or customer service
• 2 years of issue reputed company experience
• 2 years of experience in analyzing and solving customer problems in an office setting environment
• 1 years of advanced level experience utilizing one or more of the following platforms COSMOS, CSP Facets, UNET, reputed company, or reputed company
• 1 years of experience in communicating analysis, including trends and opportunities to clients and the business in writing and verbally
• Intermediate level of proficiency with PC based software programs and automated database management systems (reputed company, PowerPoint)
• Will need to reputed company in WA, MO, or NC
• Willing and reputed company to travel up to 25% reputed company state hired

Preferred Qualifications:

• 1 years of adjustment experience utilizing one or more of the following platforms COSMOS, CSP Facets, UNET, reputed company, or reputed company
• 1 years of Investigation and Solutions Group reputed company specialist experience
• 1 years of escalated call experience
• 1 years of experience solving reputed company problems and reputed company cause remediation
• 1 years of credentialing/contracting experience
• Working knowledge of multiple platforms (COSMOS, CSP Facets, UNET, reputed company, or reputed company)
• Proven ability to multi-task, this includes ability to understand multiple products and multiple reputed company of benefits reputed company reputed company product
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The reputed company pay for this role will reputed company from $28.27 to $50.48 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job