Provider Relations & Operations Specialist

Teachers Health; Sydney; Hybrid; AUD 70,000 - 100,000; Full time

Benefits offered by this job

Hybrid working model (flex your work/l

Subsidised private health insurance

Discounts on our products and services

Generous employee wellbeing program

Easily accessible by public transport

Attractive leave benefits

Job summary

Teachers Health is seeking an Ancillary Provider Relations Officer to support our provider network and electronic claiming processes, ensuring smooth operations for members and providers.

The role blends stakeholder engagement, troubleshooting, and project work, with a hybrid working model and opportunities to drive provider initiatives within a not-for-profit health fund serving education staff and families.

Qualifications

• Experience in health insurance, healthcare administration, claims, provider management.
• Strong communication skills and confidence engaging with diverse stakeholders.
• Analytical and problem-solving mindset with attention to detail.
• Ability to navigate multiple systems and troubleshoot technical or process issues.

Responsibilities

• Manage provider onboarding, recognition, and registration activities.
• Resolve provider enquiries and troubleshoot claiming and registration issues.
• Build relationships with providers, industry associations, HAMBS, Civica, HICAPS and other stakeholders.
• Monitor and maintain provider data across multiple systems.
• Support preferred provider programs and provider-related initiatives.
• Identify opportunities to improve processes, workflows, and system functionality.
• Represent Teachers Health at industry meetings and forums.
• Lead provider-related projects, including HAMBS to Civica transition.

Skills

Stakeholder engagement

Troubleshooting

Analytical mindset

Attention to detail

Tools

HAMBS

Civica

HICAPS

HealthPoint

Microsoft Excel

Job description

Teachers Health is seeking an Ancillary Provider Relations Officer to support our provider network and electronic claiming processes, ensuring smooth operations for members and providers.

The role blends stakeholder engagement, troubleshooting, and project work, with a hybrid working model and opportunities to drive provider initiatives within a not-for-profit health fund serving education staff and families.