Provider Relations Liaison

Job description

We are searching for a Provider Relations Liaison, The Health Plan - someone who works well in a fast-paced managed care setting. In this position, you’ll plan, direct and maintain strategies that assure harmonious relationships are established and maintained with physicians and other providers and efficient, effective care is delivered within a discreet assigned territory. Additionally, you’ll educate providers through in-service programs that review policies and procedures physicians are obligated to adhere to, discuss physician feedback as necessary and promote continuing education classes and other educational programs that support the goals and objectives of the health plan. Think you’ve got what it takes? Job Duties & Responsibilities: - Develops and maintains strong business relationships with participating providers - Responsible for development of a regional territory inclusive of provider selection and satisfaction as well as member growth and medical loss ratio - Resolves managed-care issues and/or problems related to claims, medical management, or member services issues - Identifies educational needs within the provider network and initiates educational efforts as neede...