Jobs
>
New York City

    Provider Relations Service Advocate - New York, NY, United States - CAIPA MSO LLC

    CAIPA MSO LLC
    CAIPA MSO LLC New York, NY, United States

    3 weeks ago

    Default job background
    Description
    :

    As a Provider Relations Advocate, you will be expected to coordinate and document provider inquiries and provide prompt and courteous service to requests for assistance for all providers via face-to-face, telephone calls, faxes, and emails.

    Assist in supporting the network strategies and network initiatives via calls or in-person outreach.

    The successful individual must be able to communicate and collaborate effectively with others; internal as well as external contacts and resources in order to achieve desired results and resolution of issues.

    Responsibilities:


    • Resolves provider issues by researching causes and working with various health plans and internal stakeholders.
    • Build and maintain provider relationships with practices through active outreach
    • Assist in designing and implement programs that nurture positive relationship between IPA/Provider/Healthplan
    • Identify gaps in network composition and services and help support strategies for network initiatives, including network expansion, recruitment, and contracting supports.
    • Leading and reporting on monthly meetings.
    • Responds to provider that is seeking assistance.
    • Works with providers, health plans, and internal departments.
    • Builds collaborative relationships with multiple health plan representatives and providers.
    • Staying updated and providing education to providers on various health plan policies.
    • Assisting and completing various projects on time.
    • Other duties and projects as assigned in line with department and company needs.
    Requirements:

    Requirements

    • Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
    • Proven analytical skills
    • Excellent multi-tasking, prioritizing, and time management skills.
    • Knowledge and experience with Adobe, and Microsoft Office products.
    • Bachelor's Degree; or two years related experience and/or training.
    • Chinese language is preferred but not required.
    • Willing to travel 70% of the time in the field working hands on with providers
    Benefits

    • Competitive Health Benefits including Medical, Vision, Dental and Life Insurance
    • 401k retirement plan with a 6% corporate match
    • Paid Time Off
    • 13 Paid Holidays
    • Hybrid work schedule
    Salary Range
    $45k-$55k
    PIdf706acd924c
  • Healthfirst

    Service Advocate

    4 days ago

    Healthfirst New York, United States

    **Responsibilities**: · - Provide excellent quality customer service to Signature HMO Plan Members and/or across all Lines of Business (LOBs) for members and providers with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and ...

  • Healthfirst

    Service Advocate

    2 weeks ago

    Healthfirst New York, United States OTHER

    The Service Advocate is responsible for supporting Contact Center Operations (CCO) by ensuring members and/or providers receive an exceptional customer experience. The Service Advocate is engaged as the primary liaison to our Signature HMO members,providing high touch support thr ...

  • Healthfirst

    Service Advocate

    4 weeks ago

    Healthfirst New York, United States

    The Service Advocate is responsible for supporting Contact Center Operations (CCO) by ensuring members and/or providers receive an exceptional customer experience. · The information below covers the role requirements, expected candidate experience, and accompanying qualification ...

  • Healthfirst

    Service Advocate

    4 weeks ago

    Healthfirst New York, United States

    The Service Advocate is responsible for supporting Contact Center Operations (CCO) by ensuring members and/or providers receive an exceptional customer experience. The Service Advocate is engaged as the primary liaison to our Signature HMO members,providing high touch support thr ...

  • New York County District Attorney

    Victim Services Advocate

    2 weeks ago

    New York County District Attorney New York, United States

    Job Description · Division/Unit: Survivor Services Bureau · Position Title: Victim Services Advocate · CS Title: Community Associate · Salary Range: $56,630 - $56,630 · Position Summary: · The New York County District Attorney's Office (DANY) has an opening for a Victim Se ...

  • Essendant

    Customer Service Advocate

    3 weeks ago

    Essendant New York, United States

    ** Customer Service Advocate (1030AM-7PM EST - REMOTE OPPORTUNITY)** · **Job Category****:** Ind Contributor-NonExempt **Requisition Number****:** CUSTO11135 Showing 1 location **Job Details** · **Description** · **Major Responsibilities** · Provides customer service regardin ...

  • CVS Health

    senior service advocate

    2 weeks ago

    CVS Health New York, United States

    Outreach to DSNP members via phone to introduce services and complete Health Risk Assessment. Use motivational interviewing to gather comprehensive information and connect members with appropriate care team personnel. Accurately document each call an.. · ...

  • CVS Health

    Senior Service Advocate

    2 weeks ago

    CVS Health New York, United States

    Uses motivational interviewing to assess members' health needs, connects members to appropriate care teams, documents calls accurately, maintains member confidentiality, builds relationships with members, and demonstrates empathy and care over the phone. · ...

  • Centene Corporation

    Customer Service Advocate I

    6 days ago

    Centene Corporation New York, United States

    You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. · **Position Purpose:** S ...

  • Centene Corporation

    Customer Service Advocate I

    2 weeks ago

    Centene Corporation New York, United States

    You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. · **Position Purpose:** S ...

  • Centene Corporation

    Customer Service Advocate I

    1 week ago

    Centene Corporation New York, United States

    You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. · Position Purpose: Serve ...

  • National Youth Advocate Program

    Ancillary Services Treatment Advocate; Licking County

    2 weeks ago

    National Youth Advocate Program Newark, United States Contingent

    Job Details · Description · Ancillary Services Treatment Advocate; Licking County · Compensation: $17 - $20 per hour. (Commensurate with experience) · Are you interested in a career in social services? Are you new to or have experience working in this field? Are you a student ...

  • Vetjobs

    Customer Service Advocate Tricare - Remote in North Carolina - NC

    1 month ago

    Vetjobs Verified Company Charlotteville (historical), United States Full time $30,000 - $80,000 per year

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warrio ...

  • CINQCARE

    Rn Advocate

    2 weeks ago

    CINQCARE New York, United States

    **Overview** · The RN Advocate reports to the Director of Clinical Operations or designee, with accountability for providing strategy, judgement, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE's requirements. They should embody CI ...

  • NYC Careers

    Constituent and Community Special Project Manager

    3 weeks ago

    NYC Careers Manhattan, United States

    **CONSTITUENT AND COMMUNITY SPECIAL PROJECT MANAGER**: · - Apply**CONSTITUENT AND COMMUNITY SPECIAL PROJECT MANAGER**: · - Agency: HRA/DEPT OF SOCIAL SERVICES · - Posted on: 05/07/2024- Job type: Full-time · Location · MANHATTAN · - Title Classification: Exam may be required · De ...

  • WOMEN'S PRISON ASSOCIATION

    Justicehome Advocate Coordinator

    3 weeks ago

    WOMEN'S PRISON ASSOCIATION New York, United States

    **About Us**: · The Women's Prison Association (WPA) is a New York City based not-for-profit that prioritizes trauma informed care to support vulnerable women and their children navigating incarceration and homelessness, providing them stability, security, support, and hope that ...

  • Children's Aid

    Parent Advocate

    2 weeks ago

    Children's Aid Manhattan, United States

    : · Harlem Family Services Center (317 Lenox Ave) · $40,000 - $44,000 · **Position Summary**:The Parent Advocate will provide concrete support to parents as they engage with the agency to plan for their children in foster care. The Parent Advocate will also provide parent support ...

  • Avail NYC

    Program Director

    2 weeks ago

    Avail NYC New York, United States

    **Full job description** · ***: · Reporting to the Director of Personal Client Advocacy, the Flourish Program Director (32 hours) oversees the execution of all Flourish client services, including overseeing volunteer Flourish Client Advocates and Flourish programmatic extensions ...

  • Violence Intervention Program

    Counselor Advocate

    3 weeks ago

    Violence Intervention Program New York, United States

    Position: Counselor Advocate, Manhattan Community Program · Department: Community & Specialized Programs · Location(s): Manhattan · Reports To: Manager · Work Model: Hybrid, working 2-3 days per week on-site · Classification: Full Time, Non-exempt · Pay Rate: $47,000/year, non-ne ...

  • Breaking Ground

    Housing Advocate

    3 weeks ago

    Breaking Ground New York, United States

    **ABOUT US**: - We believe that everyone deserves a home · Breaking Ground operates nearly 4,000 units of housing across New York City, along with housing in upstate New York and Connecticut. Supportive housing - affordable housing paired with services designed to help people mai ...