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Provider Relations and Contracts Service Specialist

HealthPartners · Bloomington, Minnesota, US

HealthPartners is hiring a Provider Relations and Contracts Service Specialist. This position is the key resource to assigned primary care groups, specialty...

Job description

HealthPartners is hiring a Provider Relations and Contracts Service Specialist. This position is the key resource to assigned primary care groups, specialty care groups, hospitals and/or other medical providers (“providers”) participating with the organization’s health plan networks. To maximize the efficiencies and quality of our provider relationships, this position will act as a facilitator to resolve provider inquiries and will assist provider staff in understanding and implementing new and existing HPI products, policies, procedures and systems. This position plays a key role in contract support through fee schedule and contract implementation. ACCOUNTABILITIES : Provide excellent customer service to assigned providers by: Participate in contract negotiation meetings, identifying administrative requirements necessary for successful implementation of legal contracts. - Researching and addressing questions related to provider payment, network participation, plan products and programs, and administrative policies and procedures - Serving as liaison between HPI and assigned providers to resolve member concerns in a timely manner - Guiding new provider groups through the onboarding...