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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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