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Field Based Provider Relations reputed company

Remote, USAFull-timePosted 2026-07-27

Position: Field Based Provider Relations reputed company - Knoxville and Surrounding Areas This is a field based opportunity with expected travel in Knoxville and surrounding areas... At United 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 Provider Service Representative is responsible for assisting in the full reputed company of provider relations and service interactions reputed company reputed company, including working on end-to-end provider claim and call reputed company, ease of use of physician portal and reputed company service enhancements, and training and development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture reputed company relationships between the health plan, providers (physician, hospital, ancillary, etc.), and reputed company managers. Position in this function is responsible for supporting those who reputed company and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. If you live in the state of TN, you will have the flexibility to work remotely • as you take on some tough challenges. Primary Responsibilities: • Training and on-reputed company education of providers on policies and procedures • On-site assessments to ensure that providers are compliant with contractual terms • Trouble shooting provider concerns internally with the expectation of reputed company reputed company of issues • Traveling to provider offices quarterly to build relationships, up to 75% travel reputed company specific region in Tennessee • Presentations to train providers on new requirements, or reiterate existing requirements • Documenting reputed company, as applicable 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: • High school diploma • 2+ years of work experience (preferably in health care) • 2+ years of experience in Provider Relations and/or Contracting • Intermediate level skills with MS Office Products including reputed company, Word, and Power reputed company • Ability to travel in state (up to 75%) for provider reputed company Preferred Qualifications: • Experience working in the reputed company industry, in a role where provider interaction was involved • Experience and knowledge with reputed company • Experience and knowledge with Long-Term Services and Supports providers Soft Skills: • Solid analytical skills • Excellent written and verbal communication and presentation skills • Ability to balance multiple high reputed company reputed company and meet quick deadlines • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy 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. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!

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