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    • Provider Relations Representative - New York - VNS Health

    VNS Health
    VNS Health New York

    1 month ago

    VNS Health background
    Description
    Job Summary:

    This position is responsible for managing all aspects of provider relations within a specified geographic region. The role involves regular visits and ongoing contact with existing and potential providers to build relationships, recruit new providers, credential and re-credential them, and assist with any issues or education they may need.


    Compensation:

    $30.71 - $38.41 hourly


    Key Responsibilities:
    • Manage all provider contracts in designated territory, including recruitment, credentialing, recredentialing, and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
    • Prepare materials for and orient providers to contract terms and operating requirements, health plan program and eligibility requirements, and service coordination.
    • Collaborate with the Network Development and Contracting and Service Operations departments to administer demographic changes and renewals to provider contracts.
    • Monitor contract performance of network providers and serve as a liaison between the health plan and the provider to ensure the flow of information regarding resolution of member service issues.

    What We Offer:
    • Referral bonus opportunities
    • Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
    • Health insurance plan for you and your loved ones, including medical, dental, vision, life, and disability
    • Employer-matched retirement savings funds
    • Personal and financial wellness programs
    • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
    • Generous tuition reimbursement for qualifying degrees
    • Opportunities for professional growth and career advancement

    Qualifications:
    • Licenses and Certifications:
      • Driver's license required
    • Education:
      • Bachelor's degree or equivalent related work experience, preferably in a healthcare setting, required
    • Work Experience:
      • Minimum three years of healthcare experience required
      • Knowledge of government programs, including Medicare and Medicaid, preferred
      • Prior experience in Provider Relations, preferred
      • Reliable transportation to work sites required
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