Provider Relations Representative - Oahu

AlohaCare; Honolulu (HI); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k employer contribution

Paid time-off

Referral bonus

Pretax transportation and parking

Job summary

AlohaCare is seeking a Provider Relations Representative on Oahu to serve as a professional liaison for our provider network. You will support retention, recruitment, and education initiatives, ensuring alignment with organizational goals and regulatory requirements.

The role requires strong communication, coordination across departments, and the ability to travel across Oahu. AlohaCare offers comprehensive benefits and opportunities for professional growth within a values-driven culture.

Qualifications

• High school diploma or equivalent.
• Minimum of 3 years of customer service experience.
• At least 1 year of healthcare experience preferred.
• Ability to travel across the island.

Responsibilities

• Supports provider network retention and recruitment efforts.
• Coordinates provider education and training activities.
• Prepares reports and participates in audits and regulatory readiness.
• Communicates with providers and internal teams.

Skills

Customer service

Healthcare experience

Independent worker

Time management

Multitasking

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Provider Relations Representative - Oahu

AlohaCare’s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication.

AlohaCare’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.

The Opportunity:

The Provider Relations Representative, Oahu serves as a provider liaison with responsibilities including implementing strategic retention, recruitment, and educational activities to support AlohaCare’s provider network related goals. Represent AlohaCare in a highly professional manner consistent with organizational values and branding objectives. Participate in on-going identification and adaptation of processes and practices to meet organizational objectives. Gathers and reports information that strengthens AlohaCare’s ability to proactively address provider issues.

Primary Duties and Responsibilities:

Communication

• Supports department participation in organizational efforts such as open enrollment, quality initiatives, NCQA accreditation, MQD readiness, HSAG audits and other activities.
• Supports production of reports including fulfillment of state contractual requirements and organizational needs.
• Contributes to the coordination, development and execution of communication products such as surveys, directory, manual, handbook, website, newsletters and provider advisories.
• Seeks and shares industry information that informs AlohaCare of current issues in the health industry and communities we serve.
• Represent AlohaCare at external provider events including exhibit booths, conferences and meetings.

Retention of Providers

• Schedules and meets with providers and/or staff in assigned territory.
• Records daily contact of visits and interactions with providers in a shared database.
• Supports implementation of strategic provider network retention efforts.
• Serves as the main point of contact for the resolution of provider issues, as needed, including internal process improvement, authorizations, complaints, benefits, contracts, fees and other issues.

Recruitment of Providers

• Coordinates activities for the proactive identification and pursuit of contracts with providers to participate in AlohaCare’s network based on department priorities.
• Identify and assists in the resolution of barriers to contracting with priority providers.

Education of Providers

• Coordinates and conducts provider educational and training activities including presentations in large and small group, and one-on-one in-person and/ online settings.
• Assists in the development of educational and training materials and logistical arrangements for education and training events.

Other/Secondary Responsibilities

• Implement solutions to proactively address provider network issues on Oahu.
• Facilitate inter-departmental collaboration for projects, process improvement and on-going operations.
• Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and procedures.
• Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title

Requirements:

• High school diploma or equivalent
• Minimum of 3 years of customer service, 1 year of healthcare, or comparable experience
• Able to work independently with minimal supervision.
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment.
• Possesses excellent time management and organizational skills; is dependable, enthusiastic, self-starting, and self-motivated. Uses time effectively, reacts professionally under pressure.
• Intermediate skill using Microsoft Programs: Word, Excel, Outlook and PowerPoint.
• Field working environment, including frequent travel in personal vehicle to client and other locations throughout the island.
• May require prolonged sitting- up to 4 hours.
• Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled workday.?
• Requires occasional inter-island travel with occasional overnight stays

Salary Range: $50,000 - $65,000 annually

AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record, disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veteran status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.