Provider Relations & Network Development Specialist

Champion Health Plan; Las Vegas (NV); On-site; USD 60,000 - 75,000; Full time

Job summary

Champion Health Plan in Las Vegas, NV is seeking a Provider Relations Representative to foster strong relationships with network providers on-site. The role serves as the primary contact for questions, issues, and contract-related matters, supporting credentialing and policy education.

You will deliver training to providers and staff, coordinate with internal teams to resolve concerns, and ensure alignment with regulatory standards while maintaining high levels of provider satisfaction.

Qualifications

• Experience in provider relations and building professional relationships.
• Knowledge of network development and provider onboarding.
• Familiarity with credentialing processes and compliance in health plans.
• Proven customer service abilities with focus on issue resolution.
• Experience delivering training to providers and staff.
• Strong verbal and written communication.
• Attention to detail and ability to manage multiple tasks.
• Proficiency with standard office software; Medicare Advantage knowledge a plus.
• Ability to work with cross-functional teams.

Responsibilities

• Build and maintain positive relationships with network providers.
• Support network development initiatives and credentialing processes.
• Educate providers on plan policies and workflows.
• Resolve provider inquiries promptly and professionally.
• Collaborate with internal teams to address provider concerns.

Skills

Provider relations

Network development

Credentialing

Customer service

Training delivery

Communication

Detail-oriented

Multitasking

Team collaboration

Healthcare admin knowledge

Education

Associate's or Bachelor's in Healthcare Administration

Equivalent experience

Tools

Provider management systems

Credentialing software

Job description

Champion Health Plan in Las Vegas, NV is seeking a Provider Relations Representative to foster strong relationships with network providers on-site. The role serves as the primary contact for questions, issues, and contract-related matters, supporting credentialing and policy education.

You will deliver training to providers and staff, coordinate with internal teams to resolve concerns, and ensure alignment with regulatory standards while maintaining high levels of provider satisfaction.