Job Summary
The Provider Relations Representative plays a crucial role in managing and maintaining contracts and credentialing of healthcare providers, thereby ensuring that Medicare Advantage plans have an adequate network. This position involves delivering educational sessions to providers and overseeing these relationships to guarantee adherence to CMS regulations.
Responsibilities
- Contract and credential providers to maintain network adequacy for Medicare Advantage plans.
- Conduct educational presentations for healthcare providers.
- Monitor provider relationships to ensure compliance with CMS policies.
Qualifications
- Bachelor’s degree in a relevant field.
- Experience in the healthcare industry, particularly in network development or related services.
- Strong communication skills to engage effectively with providers.
- Negotiation skills to manage contracts and provider discussions efficiently.
- Organizational abilities to handle provider relationships effectively.
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.
