Provider Relations Strategist – Remote

American Health Communities; Carmel (IN); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental/vision insurance

Paid time off

TeleDoc access

Disability plans

EAP

401K retirement

Employee referral program

Job summary

American Health Plans is seeking a network development professional to contract providers, ensure credentialing, and support CMS adequacy for our plan members.

You will educate providers on plan functions, maintain relationships, and assist with market expansion in a collaborative team environment. Travel to provider locations is required; teleworking may be considered.

Join a supportive team with comprehensive benefits and opportunities for professional growth within the health plan industry.

Qualifications

• Experience in health care field required.
• Knowledge of Medicare Advantage or provider networks is beneficial.
• Ability to convey plan offerings to providers.

Responsibilities

• Contracting providers and essential vendors to maintain CMS adequacy and provide services.
• Ensure credentialing requirements are met for service lines.
• Educate providers on Health Plan functions and roles.
• Conduct CMS-mandated updates and provider education presentations.
• Monitor, maintain, and support provider relationships to ensure network coverage.
• Assist in implementation and project work as needed.
• Promote a positive work environment and process improvements.
• Complete corporate assignments as assigned.

Skills

Medical services knowledge

Negotiation skills

Organization skills

Time management

Excellent communication

Team collaboration

Education

Bachelor's degree or higher

Job description

American Health Plans is seeking a network development professional to contract providers, ensure credentialing, and support CMS adequacy for our plan members.

You will educate providers on plan functions, maintain relationships, and assist with market expansion in a collaborative team environment. Travel to provider locations is required; teleworking may be considered.

Join a supportive team with comprehensive benefits and opportunities for professional growth within the health plan industry.