Provider Relations Specialist - Hybrid (3 in/2 remote)

Enterprise HCM; Albuquerque (NM); Hybrid; USD 56,000 - 124,000; Full time

Job summary

HCSC is seeking a provider relations liaison to enhance relationships with facility and physician providers. The role includes education, training, claims assistance, issue resolution, and ongoing provider service to improve satisfaction and understanding of policies and reimbursement processes.

The position requires travel within assigned areas, strong communication skills, and experience in managed care or healthcare administration. This is a hybrid role with in-office and remote work options.

Qualifications

• Bachelor’s degree and at least 3 years of work experience in managed care or 5 years in a managed care environment.
• Minimum of 2 years of health care administration experience with direct provider communication.
• Strong interpersonal, analytical, presentation, and communication skills.

Responsibilities

• Enhance relationships with facility and physician providers and serve as a liaison through education, training, claims assistance, issue resolution, and ongoing provider service.
• Support provider understanding of policies, procedures, and reimbursement processes while fostering positive relationships and satisfaction.

Job description

HCSC is seeking a provider relations liaison to enhance relationships with facility and physician providers. The role includes education, training, claims assistance, issue resolution, and ongoing provider service to improve satisfaction and understanding of policies and reimbursement processes.

The position requires travel within assigned areas, strong communication skills, and experience in managed care or healthcare administration. This is a hybrid role with in-office and remote work options.