Network Engagement Rep Senior

Intermountain Healthcare Inc.; Murray (UT); On-site; USD 43,000 - 67,000; Full time

Job summary

Intermountain Health in Murray, Utah seeks a strategic network professional to manage member-focused health insurance networks, partnering with hospital administrations and affiliated groups. You will coach junior colleagues and inform leadership on strategic issues.

The role emphasizes building trusted relationships, managing PPSA/fee schedules, and educating physician offices on value-based care and market trends. Strong collaboration with operations and compliance is essential.

Qualifications

• Bachelor's degree in Health Care Administration or business related field.
• Four years of health care experience with providers in a professional sales or service position.
• Intermediate working knowledge of word processing and spreadsheet programs.
• Demonstrated history of working independently and executing organizational goals with minimal oversight.

Responsibilities

• Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability.
• Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.
• Researches and prepares information to present at the Participating Practitioner Steering Committee (PPSC) regarding providers requesting to join SelectHealth Networks.
• Participates in PPSC committee to determine provider status on networks.
• Provides education to physician offices regarding industry trends, SelectHealth strategic direction and value-based health care and other products.
• Review reports, Dashboards, Provider Insights and other information relevant to their practices.
• Uses in-depth understanding of fee schedule methodology, PPSA, and credentialing processes to effectively educate providers and staff.
• Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.
• Anticipates and recognizes issues and is proactive in problem resolution.
• May oversee the problem‑solving process.
• Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes.
• Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.
• Provides informal coaching, training and mentoring to teammates as necessary.
• May be asked to lead or facilitate special projects related to market trends and strategic direction.

Skills

Excellent written and verbal | skills

Leadership

Time management

Word processing

Spreadsheets

Prioritization

Initiative

Collaboration

Teamwork

Professional etiquette

Education

Bachelor's degree in Health Care Administration or business related field

Job description

Job Description

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust. Coach junior representatives and inform leadership on strategic issues.

Job Essentials

• Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability.


• Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.


• Researches and prepares information to present at the Participating Practitioner Steering Committee (PPSC) regarding providers requesting to join SelectHealth Networks.


• Participates in PPSC committee to determine provider status on networks.


• Provides education to physician offices regarding such things as industry and market trends, SelectHealth strategic direction and value-based health care and other products.


• Review reports, Dashboards, Provider Insights and other information relevant to their practices.


• Uses in-depth understanding of fee schedule methodology, Participating Practitioner Service Agreements (PPSA), and credentialing processes to effectively educate providers and staff.


• Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.


• Anticipates and recognizes issues and is proactive in problem resolution.


• May oversee the problem‑solving process.


• Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes.


• Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.


• Provides informal coaching, training and mentoring to teammates as necessary.


• May be asked to lead or facilitate special projects related to market trends and strategic direction.

Minimum Qualifications

• Bachelor's degree in Health Care Administration or business related field or four years of health care experience.


• Degree must be obtained through an accredited institution. Education is verified.


• Four years of experience working with health care providers at a professional sales or service position.


• Intermediate working knowledge of word processing and spreadsheet programs.


• Demonstrated history or working independently and executing organizational goals with minimal oversight.

Preferred Qualifications

• Management level experience.


• Ability to think and communicate strategically on various health care related topics.


• Demonstrated ability to build effective strategic business relationships.


• Demonstrated ability to make sound business decisions and strategic suggestions.


• Demonstrated proactive initiative.


• Excellent communication and presentation skills.


• Demonstrated effective interpersonal and problem resolution skills.


• Clinical or health insurance experience.


• Demonstrated ability to work well in a team setting. i.e. assisting team in reaching team goals, taking on additional workloads when necessary to support the team and constructively coaching in a positive manner.

Skills

• Excellent written and verbal communication skills


• Computer literacy


• Leadership


• Time Management


• Word Processing


• General knowledge of spreadsheets


• Prioritization


• Initiative


• Collaboration
  
• Teamwork


• Professional Etiquette

Physical Requirements

Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. Manual dexterity, hearing, speaking, seeing. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location

Location: SelectHealth - Murray
Work City: Murray
Work State: Utah
Scheduled Weekly Hours: 40

Compensation

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$31.01 - $48.84

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Equal Opportunity

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

AI Platform and Privacy

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

PEAK Program

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up‑front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

Job Description Purpose

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Additional Information

All positions subject to close without notice.