Senior Provider Relations Specialist
Company: Maximus
Location: Quincy
Posted on: September 12, 2022
Job Description:
Maximus is seeking a Senior Provider Relations Specialist. The
Senior Provider Relations Specialist is a critical position in
developing and maintaining provider relationships. This position is
responsible for working directly with Providers in researching and
resolving provider issues both through structured outreach and
training, as well as informal avenues of communication. Primary
Responsibilities:
Develop and maintain provider
relationships Responsible for working directly with providers in
researching and resolving provider issues both through structured
outreach and training, as well as informal avenues of communication
Attend scheduled training sessions of other payers, vendors,
professional associations as requested Follow up on issues raised
at any training session, including contacting Provider Associations
with updated information, and updating future training protocols
and materials Conduct state-of-the-art training sessions and
seminars in various locations, including the provider's office when
requested and appropriate Develop educational messages and
materials for existing providers to promote understanding of
policies and procedures as well as good business practices Create
educational sessions that can be made available to providers via
the customer Web Portal Form and utilize interdepartmental
communication workflows, protocols and relationships to coordinate
all provider support within the contract Customer Service Team
Plan, develop and implement an account management strategy for
assigned MassHealth Programs Forms and utilizes interdepartmental
communication workflows, protocols and relationships to coordinate
all Provider support within the MassHealth Customer Service Team
Job Requirements:Minimum Requirements:
Bachelor's degree with 5+ years of
experience. Four to six years of equivalent experience considered
in lieu of degree. Minimum 2 years related work experience required
Required KSAs Accounting/Financial background and/or education
Formal public speaking experience Driver's license and access to
vehicle Excellent organizational, communication and interpersonal
skills Demonstrated leadership qualities Comfortable working in a
fast-paced environment Understanding of common provider issues
including billing practices, claim operations, enrollment and
credentialing, and health care trends Proficient in Microsoft
Office (PowerPoint, Word, Excel and Outlook) Ability to perform
comfortably in a fast-paced, deadline-oriented work environment
Ability to work as a team member, as well as independently Ability
to perform filing and data entry Ability to handle file boxes up to
30 lbs. Must be able to remain in a stationary position for an
extended period of time
Keywords: Maximus, Quincy , Senior Provider Relations Specialist, Accounting, Auditing , Quincy, Massachusetts
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