Provider Relations Coordinator II

2 weeks ago

Portland, Oregon, United States CareOregon Full time

Job Title: Provider Relations Specialist II

Exemption Status: Exempt

Department: Provider Relations

Manager Title: Provider Relations Supervisor

Direct Reports: n/a

Requisition #: 24364

Pay and Benefits: Estimated hiring range $64,130 - $78,390 / year, 5% bonus target, full benefits.

Posting Notes: This is a hybrid role that will require you to work in the downtown office/community 1-2 days a week.

Job Summary: This role acts as a key liaison between CareOregon and the network of provider-partners, which encompasses contracted, non-contracted, and prospective providers. The focus is on establishing, nurturing, and enhancing relationships with contracted providers.

Primary Responsibilities:

  • Provider Development & Education: Build and sustain effective working relationships within the provider network. Communicate a robust understanding of network eligibility and support to ensure a high-quality provider network. Play a crucial role in new provider contract assessments and oversight. Conduct orientations for new providers and train clinic staff on administrative processes.
  • Provider Relations: Foster relationships with providers to improve their experience, enhance access to quality care for members, and support healthcare transformation. Engage with the provider network to identify and address needs, conducting site visits to maintain effective relations.
  • Internal Liaison: Participate in interdepartmental initiatives, providing valuable insights. Facilitate complex provider meetings and collaborate closely with internal departments to resolve issues affecting providers.
  • Contract Initiation: Identify potential providers to enhance the network and support the contracting team in managing provider applications and terminations.
  • Administration: Contribute to the development of relevant policies and procedures, actively participate in department meetings, and mentor new team members.

Organizational Responsibilities: Align work with the organization's mission, vision, and values. Support the commitment to equity, diversity, and inclusion by fostering a culture of respect and awareness. Strive to meet annual business goals and adhere to organizational policies and compliance needs.

Experience and/or Education Required: Minimum of 4 years' relevant experience in physical and/or behavioral health, including provider relations and managed care operations.

Knowledge, Skills, and Abilities Required:

  • Strong understanding of managed care and healthcare payment methodologies.
  • Proficient in Microsoft Office applications.
  • Excellent communication skills, both verbal and written.
  • Ability to build and maintain professional relationships.
  • Strong organizational and problem-solving skills.

Working Conditions: This position requires travel outside of the workplace at least weekly. The employee's personal vehicle may be used for travel.

CareOregon is committed to building a diverse and inclusive work environment.

  • Provider Relations Specialist II

    2 days ago

    Portland, Oregon, United States CareOregon Full time

    About the RoleCareOregon 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 ResponsibilitiesProvider Development & EducationDevelop and maintain effective...

  • Provider Relations Specialist II

    19 hours ago

    Portland, Oregon, United States CareOregon Full time

    About the RoleCareOregon is seeking a skilled Provider Relations Specialist II to join our team. As a key member of our organization, you will play a critical role in building and maintaining strong relationships with our provider network.Key ResponsibilitiesProvider Development & EducationDevelop and maintain effective working relationships across the...

  • Provider Relations Specialist II

    3 days ago

    Portland, Oregon, United States CareOregon Full time

    About the RoleCareOregon is seeking a highly 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 our provider network.Key ResponsibilitiesProvider Development and Education: Develop and maintain effective working...

  • Financial Operations Coordinator II

    6 days ago

    Portland, Oregon, United States City of Portland Full time

    About the RoleWe are seeking a highly skilled Financial Operations Coordinator II to join our team at the City of Portland. As a key member of our accounting team, you will play a critical role in ensuring the accuracy and efficiency of our financial processes.Key ResponsibilitiesProcess and reconcile financial transactions in a timely and accurate...

  • Loss Control Services Coordinator II

    5 days ago

    Portland, Oregon, United States Opportunities at MEMIC Full time

    Opportunities at MEMICJob Title: Loss Control Services Coordinator IIJob Summary:The Loss Control Services Coordinator II plays a vital role in supporting the success of MEMIC's policyholders by providing exceptional administrative support and coordination services. This position is responsible for managing policyholder introduction, registration, and...

  • Quality Improvement Coordinator II

    2 weeks ago

    Portland, Oregon, United States Columbia Sportswear Full time

    Join Our Team at Columbia SportswearAt Columbia, we share your passion for the outdoors. Our commitment to innovation and sustainability drives us to continuously enhance our products and services.Position OverviewThe Quality Coordinator II plays a crucial role in our Customer Care team, dedicated to enhancing the customer experience. This position focuses...

  • Laboratory Client Relations Coordinator

    2 weeks ago

    Portland, Oregon, United States Kaiser Permanente Full time

    Role Overview:As a vital resource for both internal and external stakeholders, the Client Services Support Specialist will engage with healthcare providers, laboratory personnel, and patients to address inquiries regarding physician orders, laboratory testing protocols, and results.Key Responsibilities:1. Serve as the primary contact for all inquiries...

  • Surveying Assistant II

    3 days ago

    Portland, Oregon, United States City of Portland Oregon Full time

    About the RoleWe are seeking a highly skilled and motivated individual to join our team as a Surveying Aide II. This is an exciting opportunity for a detail-oriented and organized professional to support our surveying operations.Key ResponsibilitiesAssist in the preparation and maintenance of transfer listsCoordinate with various stakeholders to gather...

  • Production Specialist and Customer Relations Coordinator

    2 weeks ago

    Portland, Oregon, United States In Solidarity Project Full time

    Production Specialist and Customer Relations CoordinatorWe are seeking a dedicated individual to fill the dual role of Production Specialist and Customer Relations Coordinator at In Solidarity Project. This position encompasses both hands-on production tasks and engaging customer service responsibilities.The production aspect (approximately 50-70% of the...

  • Financial Analyst II

    6 days ago

    Portland, Oregon, United States City of Portland Full time

    About the RoleWe are seeking a highly skilled Financial Operations Coordinator II to join our team at the City of Portland. As a key member of our accounting team, you will play a critical role in ensuring the accuracy and efficiency of our financial processes.Key ResponsibilitiesProcess and reconcile financial transactions in a timely and accurate...

  • Client Relations Coordinator

    2 weeks ago

    Portland, Oregon, United States BlueVolt Full time

    Position Overview: The Customer Experience Associate serves as a pivotal touchpoint for clients interacting with our organization. Utilizing a professional demeanor and comprehensive product knowledge, you will assist customers in reaching their objectives. Your responsibilities will include addressing inquiries via chat, phone, and email for both B2C and...

  • Employee Relations Coordinator

    2 weeks ago

    Portland, Oregon, United States Telespazio VEGA Deutschland Full time

    We are seeking a committed and proficient Human Resources Specialist to become a vital part of our organization. As a Human Resources Specialist, you will be instrumental in fostering employee satisfaction and engagement, overseeing HR functions, and aiding in the advancement and prosperity of our company.Key Responsibilities:Manage HR processes and ensure...

  • Care Coordination Supervisor

    6 days ago

    Portland, Oregon, United States Multnomah County Full time

    About the RoleWe are seeking a highly skilled and experienced Care Coordination Supervisor to join our Behavioral Health team at Multnomah County. As a key member of our team, you will be responsible for overseeing the development and implementation of our Care Coordination program, ensuring high-quality services are delivered to our clients.Key...

  • Advanced Practice Provider

    2 weeks ago

    Portland, Oregon, United States Provider Solutions & Development Full time

    Position Overview: Provider Solutions & Development is seeking a dedicated Advanced Practice Provider to join our esteemed Liver and Pancreas Surgical Oncology team. Role Responsibilities: In this role, you will collaborate with a multidisciplinary team of surgeons, fellows, nursing staff, and other healthcare professionals to assess and manage the care of...

  • Quality and Sanitation Specialist II

    2 days ago

    Portland, Oregon, United States Dexian DISYS Full time

    Job Title: Quality and Sanitation Specialist IIJob Summary:The Quality and Sanitation Specialist II will lead the Environmental Health and Safety (EHS) department, ensuring a safe working environment for personnel. Key responsibilities include:Leading the EHS department: Performance management, coaching, and employee development.Creating a safe working...

  • Certified Nursing Assistant II

    2 weeks ago

    Portland, Oregon, United States Providence Health & Service Full time

    Position OverviewThe Certified Nursing Assistant II (CNA II) plays a vital role within the nursing unit, providing essential administrative and clinical support to ensure the smooth operation of the unit. This position involves collaboration with fellow staff and leadership to enhance the unit's functionality while performing CNA II patient care...

  • Project Engineer II

    5 days ago

    Portland, Oregon, United States Mortenson Full time

    About the RoleMortenson is seeking an experienced Project Engineer II to join our team. As a key member of our construction management team, you will be responsible for ensuring the successful execution of projects from start to finish.Key ResponsibilitiesReview and analyze project plans, specifications, and details to ensure compliance with company...

  • Quality and Sanitation Specialist II

    4 days ago

    Portland, Oregon, United States Dexian - DISYS Full time

    Job Title: Quality and Sanitation Specialist IIJob Summary:The Quality and Sanitation Specialist II will lead the Environmental Health and Safety (EHS) department, ensuring a safe working environment for personnel. Key responsibilities include:Performance Management: Lead the EHS department, including performance management, coaching, and employee...

  • Maintenance Technician II

    3 days ago

    Portland, Oregon, United States CRMG Full time

    About the Role:Commercial and Residential Management Group (CRMG) is seeking a skilled Maintenance Technician II to join our team. As a key member of our facilities management team, you will be responsible for performing a variety of maintenance and repair tasks to ensure the upkeep of our properties.Key Responsibilities:Perform routine maintenance and...

  • Jail Care Coordination Manager

    2 weeks ago

    Portland, Oregon, United States Multnomah County Full time

    Current employees: Please apply through the employee portal to be considered for this opportunity. Compensation Range: $89,000 - $134,439.70 Annually Department: Health Services Employment Type: Regular Non-Represented Exemption Status: United States of America (Exempt) Closing Information: The Role: THIS WORK MATTERS **This position necessitates a CADC-II...