Field Provider Relations Specialist – External

Gold Coast Health Plan; Camarillo (CA); On-site; USD 88,594 - 147,656; Full time

Job summary

A healthcare organization in Camarillo, CA is seeking a Provider Relations Representative – External. This full-time role requires a minimum of 5 years in healthcare with a focus on provider relations and compliance. Responsibilities include onboarding providers, conducting visits, and ensuring effective communication. The job demands strong relationship-building skills and knowledge of Medicare and Medicaid. Competitive salary offered within a range of $88,594 to $147,656 annually, depending on experience.

Qualifications

• 5+ years of experience in healthcare/managed care and provider relations.
• Proficient knowledge of Medicare and Medicaid.
• Ability to build and maintain effective relationships.

Responsibilities

• Serve as the primary liaison between providers and the organization.
• Educate providers on policies and compliance requirements.
• Conduct regular visits to collect data and assess performance.

Skills

Building relationships with healthcare providers

Understanding healthcare regulations

Claims processing knowledge

Training and onboarding skills

Education

Bachelor's degree in a relevant field

Tools

MS Office

Job description

A healthcare organization in Camarillo, CA is seeking a Provider Relations Representative – External. This full-time role requires a minimum of 5 years in healthcare with a focus on provider relations and compliance. Responsibilities include onboarding providers, conducting visits, and ensuring effective communication. The job demands strong relationship-building skills and knowledge of Medicare and Medicaid. Competitive salary offered within a range of $88,594 to $147,656 annually, depending on experience.