Provider Relations Specialist (Finance)

POSITION SUMMARY:

The Provider Relations Specialist will play a key role in supporting the Provider Relations Manager in maintaining positive relationships with healthcare providers and ensuring the smooth operation of provider-related activities within Alignment Health Plan with our Contracted Network (PCP, Specialists, Ancillary/Facility).
GENERAL DUTIES/RESPONSIBILITIES (MAY INCLUDE BUT ARE NOT LIMITED TO):
• Serve as the primary point of contact for provider inquiries, requests, and concerns, and provide timely and professional assistance
• Coordinates with internal teams in a timely manner for resolution of provider issues
• Assist in the evaluation of provider performance and satisfaction through surveys, feedback mechanisms, and data analysis
• Support the Provider Relations Manager in maintaining and updating provider information impacting directories, networks, and contracts
• Work assigned tasks, including but not limited to provider onboarding, call center queues, CRM, portal access
requests, timely and accurately
• Attends and participates in all staff meetings as required
• All other assigned tasks

SUPERVISORY RESPONSIBILITIES:
N/A

MINIMUM REQUIREMENTS:

Minimum Experience:

• Two years related experience and/or training; or equivalent combination of education and experience.
• Experience in provider relations / contracting with an HMO or IPA, medical group or institutional provider required Alignment Healthcare
• Education/Licensure: B.A./B.S. OR 2 years relevant experience
• Competencies:
• Organized, detail driven and a self-starter.
• Strong analytic, quantitative, and problem-solving skills.
• Strong verbal and written communication skills.
• Basic computer skills in MS office suite (Word, Excel, and PowerPoint).

Work Environment:

The work environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the
essential functions.

ESSENTIAL PHYSICAL FUNCTIONS:
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel and talk or hear.
• The employee is frequently required to reach with hands and arms.
• The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl.
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Pay Range: $60,000 - $65,000 annually.