The Provider Relations Representative is responsible for contracting and credentialing providers to ensure network adequacy for Medicare Advantage plans. They also educate providers on health plan functions and monitor relationships to maintain high-quality network coverage. Candidates must hold a bachelor’s degree and possess experience in the healthcare field, specifically with network development or services. Strong negotiation, communication, and organizational skills are required to effectively manage provider relationships and meet CMS standards.
TruHealth provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
