Provider Relations Representative - Fresno
Babylon Health, United States

Experience
1 Year
Salary
0 - 0
Job Type
Job Shift
Job Category
Traveling
No
Career Level
Telecommute
No
Qualification
As mentioned in job details
Total Vacancies
1 Job
Posted on
Mar 22, 2021
Last Date
Apr 22, 2021
Location(s)

Job Description

We are a team on a mission, to put accessible and affordable healthcare in the hands of every person on earth. Our mission is bold and ambitious, and it’s one that’s shared by our team who shares our values, to dream big, build fast and be brilliant.
To achieve this, we’ve brought together one of the largest teams of scientists, clinicians, mathematicians and engineers to focus on combining the ever-growing computing power of machines, with the best medical expertise of humans, to create a comprehensive, immediate and personalized health service and make it universally available.
At Babylon our people aren’t just part of a team, they’re part of something bigger. We’re a vibrant community of creative thinkers and doers, forging the way for a new generation of healthcare. We’re only as good as our people. So, finding the best people is everything to us.
We serve millions, but we choose our people one at a time
Babylon is looking for an experienced Provider Relations Representative to be the liaison between physicians, health plan and inter-departmental staff in support of contract issues, maintain and foster positive relationship to ensure long-term contractual arrangement and partnership.
The successful candidate will be the support provider to ensure follow-through with regard to contract paperwork and in-service implementation. Continuous development and management of IPA provider networks to ensure compliance with health plan and access standards.
Affect the implementation of department stated goals and objectives.
Oversee daily operations of provider networks and health plan contract requirements.Job functions:
  • Regularly and on a daily basis exercises independent judgment and makes recommendations to Contract administration regarding issues related to provider (physician) contract implementation and evaluates facility/staffing needs and requirements in support of physician’s contract and practice.
  • These tasks will require daily field visits to physician site(s) and on-going meetings and communications with physicians and subordinate staff.
  • Perform these functions with general supervision.
  • On an on-going basis, develop and supervise the implementation of physician/staff training programs to support physicians with their administration of health plan and IPA policies and procedures and contracts. Requires in-depth knowledge of physician’s health plan and IPA contracts and agreements. Perform this function with only general supervision.
  • Design, supervise, and participate in marketing projects/efforts to increase patient physician membership in individual physician and IPA network. This task will require, but not be limited to, representing IPA/physician at conferences, workshops, seminars and special events related to the healthcare industry. Perform this function with only general supervision.
  • Follow-up with Provider offices or their staff, by mail, telephone or direct contact, to deliver and/or retrieve elements of contract packages.
  • Assist with the preparation/assemblage of marketing event materials and supplies. May attend marketing events to support Manager and Specialists.
  • Perform other duties as assigned.
Qualifications:
  • Minimum three (3) years experience in a provider network environment within the healthcare industry.
  • In-depth knowledge of managed care concepts, ability to meet established deadlines, communicate effectively, achieve high quality results.
  • Ability to interpret contract and health plan regulatory language.
  • Education: Bachelors Degree in healthcare or related field or equivalent experience.
We believe that difference inspires a better, healthier world. That’s why it’s at the heart of everything we do. From our people to our products, difference enriches every part of our business and creates a culture based on equality of opportunity, and in which all Babylonians can progress their careers. We’re committed to creating an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, colour, religion, sex, pregnancy status, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, and any other characteristic protected by applicable law.At Babylon, we have Power of Diversity groups (PODs) to drive positive engagements that create and foster a diverse and inclusive environment and we seek to recruit, develop and retain the most talented people from a diverse pool of candidates.Our mission is to put an accessible and affordable health service in the hands of every person on earth. Diversity and inclusion play a key role in helping us bring this mission to life and create a true sense of belonging for all.

Job Specification

Job Rewards and Benefits

Babylon Health

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