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Provider Relations Specialist II
2 months ago
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.
- 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.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.