Provider Relations Representative

Jobtailor; Corpus Christi (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor in Corpus Christi, TX seeks a health care administrator to drive provider recruitment and contracting in a managed care setting. You will communicate with providers, analyze data, and implement process improvements to support healthcare delivery.

The ideal candidate has a Bachelor's degree with 3 years of managed care experience or 5 years in a managed care environment, plus strong interpersonal, analytical, and presentation skills, and willingness to travel as needed.

Qualifications

• Bachelor's degree and 3 years of work experience in managed care, or a minimum of 5 years' work experience in a managed care environment.
• Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
• Effective interpersonal, analytical, presentation, and communication skills.
• Knowledge of the health care industry.
• Ability and willingness to travel within assigned areas, including overnight stays.
• Knowledge of contracts, applications, and products.
• Understanding of provider reimbursement methods.
• Working knowledge of claims processing systems.
• Effective organizational and planning skills.
• Ability to take initiative and work independently.
• Demonstrated ability to meet deadlines and work well under pressure.
• Clear and concise interpersonal, verbal, and written communication skills.
• Collaboration skills resulting in business/process improvements/changes.
• PC experience and skills including Word, Excel, and PowerPoint.
• Facilitation, presentation, and analytical skills.

Skills

Provider Recruitment

Health Care Administration

Provider Reimbursement Methods

Claims Processing Systems

Interpersonal Communication

Collaboration Skills

Initiative

Ability to Work Independently

Meet Deadlines

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Requirements

• Bachelor's degree and 3 years of work experience in managed care, or a minimum of 5 years' work experience in a managed care environment
• Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience
• Effective interpersonal, analytical, presentation, and communication skills
• Knowledge of the health care industry
• Ability and willingness to travel within assigned areas, including overnight stays
• Knowledge of contracts, applications, and products
• Understanding of provider reimbursement methods
• Working knowledge of claims processing systems
• Effective organizational and planning skills
• Ability to take initiative and work independently
• Demonstrated ability to meet deadlines and work well under pressure
• Clear and concise interpersonal, verbal, and written communication skills
• Collaboration skills resulting in business/process improvements/changes
• PC experience and skills including Word, Excel, and PowerPoint
• Facilitation, presentation, and analytical skills

Core Competencies

Demonstrates expertise in provider recruitment and contracting processes, with strong knowledge of health care administration, provider reimbursement methods, and claims processing systems. Proven ability to establish and maintain relationships with providers while effectively communicating and collaborating to drive business improvements.

Highest-signal resume keywords

• Provider Recruitment
• Health Care Administration
• Provider Reimbursement Methods
• Claims Processing Systems
• Interpersonal Communication

Hard Skills

• Provider Communication
• Contract Knowledge
• Analytical Skills
• Presentation Skills
• Organizational Skills

Soft Skills

• Effective Communication
• Collaboration Skills
• Initiative
• Ability to Work Independently
• Ability to Meet Deadlines

Industry Keywords

• Managed Care
• Health Care Industry
• Clinical Settings
• Financial Settings

Tools & Technologies

• Microsoft Word
• Microsoft Excel
• Microsoft PowerPoint