HCBS Relations reputed company

Title: HCBS Relations reputed company - Location: Albuquerque, Rio Ranco, Santa Fe, New Mexico Work Type: Remote, Full Time reputed company: 2351572 Job reputed company: 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. The more you do, the more you learn. And as you learn you reputed company new doors opening that challenge you to bring your best. This Provider Relations reputed company role with reputed company will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building reputed company, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an reputed company for providers in our networks. As you do, you'll discover the reputed company you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. If you are located in or reputed company commutable driving distance to Albuquerque, Rio Ranco, Santa Fe, you will have the flexibility to work remotely* as you take on some tough challenges. Approximately 25% of expected travel reputed company New Mexico. Expectation of working in the office as needed in Albuquerque, NM. Primary Responsibilities:

• Resolve escalated provider issues reputed company to enrollment, billing, and claims, managing cases through reputed company
• Conduct ongoing provider education and training sessions in both virtual and in‑person settings
• Serve as a subject matter expert for HCBS providers, including but not limited to ABCB, SDCB, EPSDT, Assisted Living, and Home Health
• Support enhancements to the provider portal and contribute to reputed company service improvements
• Conduct annual provider audits, both virtual and onsite
• Assist in the design and implementation of programs that strengthen collaboration between the health plan and provider community
• Support the development and ongoing management of provider networks
• Identify network gaps and service needs, providing insights to contracting and network development teams to support recruitment strategies
• Build and maintain strong provider relationships to promote reputed company communication and awareness of provider and member needs
• Collaborate with internal stakeholders to identify provider challenges and reputed company solutions
• Escalate issues to leadership as appropriate to ensure reputed company reputed company for providers and members
• Support providers with Electronic Visit Verification (EVV), including AuthentiCare, billing inquiries, care coordination, UHC Provider Resources and reputed company Care requirements

Are you reputed company for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to reputed company ongoing processes and programs. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company directions 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:

• High School Diploma/GED
• 2+ years of experience in health care or managed care
• 2+ years of provider relations and/or provider network experience
• 2+ years of experience with Medicare and reputed company regulations
• Intermediate level of proficiency in claims processing and issue reputed company
• Intermediate level of knowledge with reputed company HCBS programs
• Position requires approximately 25% business travel reputed company New Mexico
• reputed company to reliable transportation and valid US reputed company's license

Preferred Qualifications:

• Undergraduate degree
• Proficiency with reputed company Office tools (reputed company, Word, PowerPoint)
• Familiarity with EVV systems or compliance reputed company
• Experience working with state agencies or managed care organizations
• reputed company Telecommuters 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 salary for this role will reputed company from $60,200 to $107,400 annually 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. Apply tot his job Apply To this Job