Provider Engagement Representative

HCSC Group; Baltimore (MD); On-site; USD 48,000 - 86,000; Full time

Job summary

CareAllies in Baltimore, MD is seeking a provider data professional responsible for contracting, credentialing, and maintaining Professional Provider Data to support Marketing, Membership and Network Contracting.

The role emphasizes building relationships with the Provider community, data integrity, and participation in internal provider meetings; strong analytical, communication, and independent-initiative skills are required.

Qualifications

• Bachelor degree or 4 years of healthcare industry experience.
• 2 years of provider network contracting and credentialing systems experience.
• Written and verbal communication skills to interact with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsibilities

• Contracting, credentialing, and maintenance of Professional Provider Data across Marketing, Membership and Network Contracting.
• Build relations with the Provider community to support data integrity.
• Lead operational and customer support duties requiring independent initiative.
• Participate in internal provider meetings and work groups; research credentialing data and network participation issues.

Skills

Education background

Provider network contracting

Communication skills

Analytical skills

Independent initiative

Education

Bachelor degree

Healthcare industry experience (4 years)

Tools

Microsoft Office (Excel, Access, PowerPoint)

Job description

At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Job Summary

This position is responsible for the contracting, credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of business. Building relations with the Provider community is an important part of this role. Responsibilities include promoting high-quality initiatives to support data integrity. Accepting ownership and leading highly specialized operational and customer support duties that require independent initiative. This role includes participating in internal provider meetings and work groups, researching problems related to provider credentialing, data and network participation.

Required Job Qualifications:

• Bachelor degree OR 4 years of experience in the Health Care industry
• 2 years of experience with Provider Network contracting and credentialing systems
• Written and verbal communication skills to interact with internal and external customers
• Analytical and quantitative skills
• Ability to take initiative and work independently

Preferred Job Qualifications:

• Subject Matter Expert for the Professional Provider Credentialing Process
• Experience with Microsoft Office applications including Excel, Access, and Power Point

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee’s weekly schedule for exigent circumstances.

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Pay Transparency Statement:

At CareAllies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time employees.

The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:

$47,500.00 - $86,000.00

Exact compensation may vary based on skills, experience, and location.