Provider Relations Representative

keybenefit; Indianapolis (IN); On-site; USD 60,000 - 90,000; Full time

Job summary

Key Benefit Administrators is seeking a Provider Relations Representative to oversee network relationships, development, and contract functions for Key Family. The role focuses on strategic direction and ensuring compliant, productive partnerships within the health insurance network.

The ideal candidate has 3+ years in healthcare network relations, excellent communication, and strong negotiation skills. Travel may be required to meet network partners and clients as needed.

Qualifications

• 3+ years of network-related experience in healthcare or TPA setting.
• Strong written and verbal communication, plus presentation skills.
• Proficiency in Microsoft Excel and Word.
• Ability to multi-task and meet deadlines.
• Strong organizational, problem solving and analytical skills.
• Experience in relationship management with networks, clients and brokers.
• Ability to work independently and in a fast-paced environment.
• People and team oriented.

Responsibilities

• Oversee network relationships and maintain contracts.
• Coordinate with network partners, Sales, Direct to Employer team and operations.
• Provide professional communication with networks and clients.
• Maintain market intelligence on competitive landscape.
• Negotiate and coordinate new/renewing network contracts with legal/VP.
• Establish direct-to-employer opportunities and partnerships.
• Escalate network issues to VP and resolve.
• Travel as needed for networks/clients.
• Perform additional related duties.

Skills

Network relationships

Written & verbal communication

MS Office (Excel/Word)

Multi-tasking

Organizational skills

Analytical skills

Relationship management

Independent work

Team oriented

Remote meetings (Zoom)

Tools

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.