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The Provider Relations Liaison designs, develops, contracts, maintains, and enhances relationships with facilities, physicians, and ancillary providers which serve as contractual networks of care for members. This person manages and maintains relationships with healthcare providers within a network by evaluating provider performance, resolving issues or disputes, and collaborating with internal and external stakeholders.
Job Responsibility:
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
Supports or assists with operational activities that may include, but are not limited to, database management and contract coordination
Performs credentialing support activities as needed
Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met
Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures
Meets with key providers periodically to ensure service levels are meeting expectations
Manages the development of agenda, validates materials, and facilitates external provider meetings
May collaborate cross-functionally on the implementation of large provider systems
Requirements:
2-4 years of experience in provider relations and/or contracting
Must reside in Arizona
Ability to travel up to 50% of time within Maricopa County, Arizona and surrounding areas
Bachelor's degree or equivalent experience (4 years of relevant experience + high school diploma or GED)
Nice to have:
Resides in Maricopa County, Arizona
Problem solving and decision-making skills
Ability to work independently, while maintaining a team-oriented and collaborative nature
Strong communication skills, both verbal and written
Excellent organizational and time management skills
Excellent customer service skills, including the ability to work with external customers, as well as collaborate interdepartmentally
Strong technological skills, including a demonstrated proficiency in Microsoft Office Suite
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