Provider Relations Representative, Experienced

Your Role

The Provider Services team provides knowledge and assistance to contracted entities in San Diego County. The Provider Relations Representative, Experienced will report to the Manager of Provider Services-Relations. In this role you will work closely with contracted providers to ensure that they are adhering to regulatory requirements. You will provide ongoing support of contracted entities, which includes working closely with internal teams to resolve any issues that may arise. Additionally, this role will support company initiatives, drive department objectives to achieve provider compliance, and focusing on building and maintaining strong relationships with contracted entities.

Your Knowledge and Experience

• Requires a college degree or equivalent experience
• Requires 3 years of prior relevant experience
• Proven experience in provider relations, healthcare contracting or similar field
• Excellent communication skills, both written and verbal with the ability to articulate complex concepts concisely
• Highly organized with the capacity to manage multiple projects and prioritize effectively
• Demonstrated self-motivation, drive, and the ability to work autonomously while collaborating with the team
• Resourcefulness, adaptability, and quick learning abilities to thrive in a fast-paced healthcare environment