Provider Relations Representative

Key Family of Companies; Columbus (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

Key Benefit Administrators is seeking a Provider Relations Representative to oversee network relationships, contract functions, and coordination with internal teams. You will drive development, ensure compliance, and maintain strong communications with networks and clients to foster long-term partnerships.

Ideal candidates bring 3+ years in health-network roles, superb communication, and solid MS Office skills.

Qualifications

• 3+ years of network-related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.
• Proven abilities in written and verbal communication, as well as presentation skills.
• Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.
• Ability to multi-task and work under deadlines.
• Strong organizational, problem solving and analytical skills.
• Highly experienced in relationship management with networks, clients and/or brokers.
• Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.
• People and team oriented.
• Knowledge of conducting remote meetings using Zoom is a plus.
• Detailed understanding of operational areas of health insurance is a plus.

Responsibilities

• Relationship oversight of all current and potential networks.
• Liaise between network relationships and Sales, Direct to Employer, and other teams.
• Provide professional, ongoing communication with networks and clients.
• Maintain market intelligence on competitive health plan landscape.
• Review and sign-off on new and renewing network contracts with legal and VP.
• Coordinate direct-to-employer opportunities with hospital/provider systems.
• Oversee escalation of network issues to VP as needed.
• Travel occasionally for network/client meetings as required.
• Perform additional related duties as assigned.

Skills

Relationship management

Communication skills

Multi-tasking

Organizational skills

Analytical skills

Team oriented

Adaptability

Zoom proficiency

Tools

Microsoft Excel

Microsoft Word

Zoom

Job description

Key Benefit Administrators is currently seeking a Provider Relations Representative to join the team. We are excited to speak to qualified candidates about opportunity. This position includes a comprehensive benefit package and competitive salary!

About Key Benefit Administrators

We are on a mission to improve health and stabilize insurance costs for local communities. KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators. We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.

Check us out here:

Website | Glassdoor | Top Workplace

Position Summary:

The Provider Relations Representative will be responsible for the strategic direction, while maintaining successful oversight of all network relationships, network development, coordination, compliance, and contract functions of network management for the Key Family.

Essential Duties and Responsibilities:

• Relationship oversight of all current and potential networks.
• Serves as a liaison between network relationships and network partners, Sales, Direct to Employer team and other operational teams within Key Family.
• Provide superior, professional, ongoing, consistent communication and service with designated networks and clients, to maintain a positive, long-term relationship.
• Maintain market intelligence on competitive landscape.
• Detailed review, negotiation, editing and sign-off, in coordination with legal and VP, of all new and renewing network contracts.
• Establishment and coordination of directly contracted hospital and/or provider systems within designated communities, creating formal direct to employer opportunities and/or informal partnerships.
• Oversee elevated network issues to resolution escalating to VP as necessary.
• Be available for occasional network/client related travel as needed.
• Perform additional related duties as assigned.

Does this sound like you?

• 3+ years of network related experience in a healthcare or Third-Party Administrator (TPA) setting preferred.
• Proven abilities in written and verbal communication, as well as presentation skills.
• Highly proficient in Microsoft Office products, such as Microsoft Excel and Microsoft Word.
• Ability to multi-task and work under deadlines.
• Strong organizational, problem solving and analytical skills.
• Highly experienced in relationship management with networks, clients and/or brokers.
• Ability to work proficiently, independently, and timely in a fast-paced environment and be adaptable in a dynamic work environment.
• People and team oriented.
• Knowledge of conducting remote meetings using Zoom is a plus.
• Detailed understanding of operational areas of health insurance is a plus.

If you are unable to complete an application for the Provider Relations Representative position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.

All qualified applicants for the Provider Relations Representative position will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender.