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Provider Relations Specialist II

2 months ago


Portland, Oregon, United States CareOregon Full time
About the Role

CareOregon is seeking a skilled Provider Relations Specialist II to join our team. As a key member of our Provider Relations department, you will play a critical role in building and maintaining strong relationships with healthcare providers across our network.

Key Responsibilities
  • Provider Development & Education
    • Develop and maintain effective working relationships with healthcare providers to enhance the provider experience and access to quality care for our members.
    • Conduct new provider orientations, trainings, and presentations to ensure a high-quality provider network.
    • Research provider questions and connect them to appropriate resources to ensure resolution to root cause of provider issues and concerns.
  • Provider Relations
    • Cultivate relationships with providers to enhance the provider experience, access to quality of care for members, and healthcare transformation.
    • Engage the provider network within an identified area to develop, address, and monitor needs.
    • Conduct provider site visits to maintain ongoing relations and effectiveness.
  • Internal Liaison
    • Participate on interdepartmental initiatives and teams, providing knowledgeable insights and contributions.
    • Effectively facilitate large, complex provider meetings.
    • Attend CareOregon events, serving as an integral team member.
  • Contract Initiation
    • Identify potential providers that may enhance the network.
    • Obtain and review provider application data; submit to provider contracting staff.
  • Administration
    • Provide input and contribute to the development of relevant policies and procedures.
    • Actively participate in department meetings.
    • Consult and inform on CareOregon program development and initiatives.
Requirements
  • Minimum 4 years' relevant experience relating to physical and/or behavioral health.
  • Experience should include involvement in several of the following areas: Provider relations, managed care operations, medical/behavioral health clinic operations, and/or related healthcare functions.
  • Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle.
What We Offer
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.