Provider Contract & Relations Specialist

EmblemHealth; New York (NY); On-site; USD 56,160 - 99,360; Full time

Job summary

A leading health insurance provider in New York is seeking an experienced individual to act as a liaison between providers and the company. The successful candidate will be responsible for resolving provider-related issues, educating providers about company policies, and ensuring accurate implementation of contracts. Candidates should possess a Bachelor's degree and have 3-5 years of experience in provider relations with strong communication skills. The role offers a salary range of $56,160 to $99,360 based on experience and qualifications.

Qualifications

• 3-5+ years of direct provider relations experience.
• Strong understanding of healthcare financing and delivery systems.
• Excellent communication skills, both written and verbal.

Responsibilities

• Act as liaison between providers and EmblemHealth.
• Assist providers with contract disputes.
• Support claim inquiries and coordinate department tasks.

Skills

Customer service skills

Interpersonal skills

Analytical and problem-solving skills

Time management skills

Education

Bachelor's degree in health care-related field

Tools

MS Office Suite (Word, Excel, PowerPoint, Outlook, Teams, SharePoint)

Job description

A leading health insurance provider in New York is seeking an experienced individual to act as a liaison between providers and the company. The successful candidate will be responsible for resolving provider-related issues, educating providers about company policies, and ensuring accurate implementation of contracts. Candidates should possess a Bachelor's degree and have 3-5 years of experience in provider relations with strong communication skills. The role offers a salary range of $56,160 to $99,360 based on experience and qualifications.