Sr. Provider Relations Representative

Spectraforce Technologies; Columbia (SC); On-site; USD 52,000 - 68,000; Full time

Job summary

Spectraforce Technologies in Columbia, SC is seeking a Sr. Provider Relations Representative to educate and train network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary.

Develops and produces all training and educational materials. The role involves creating web-based and classroom training, coordinating workshops, and building relationships with providers and professional associations to ensure training needs are met.

Qualifications

• Education and training materials development experience.
• Experience delivering classroom presentations to large groups.
• Knowledge of government healthcare programs and HIPAA policies.
• Proficient in word processing, spreadsheets, and databases.
• Good judgment in decision making.
• Strong verbal and written communication.
• Analytical and critical thinking skills.
• Basic business math proficiency.
• Ability to persuade, negotiate, or influence others.
• Ability to handle confidential information with discretion.
• Ability to identify learning objectives.
• Strong course design skills using various media.
• Ability to evaluate progress beyond delivery of training.

Responsibilities

• Develops, prepares, reviews, and updates provider education materials and trainings.
• Builds relationships with providers, groups, staff, and associations; addresses educational needs.
• Performs administrative tasks; generates reports for management.
• Contributes to special projects as assigned.

Skills

Training materials development

Classroom presentations

HIPAA knowledge

Office suite proficiency

Communication skills

Analytical thinking

Math skills

Persuasion/negotiation

Confidentiality handling

Learning objective identification

Course design

Progress evaluation

Education

Bachelor's degree OR 4 years related experience

Tools

Microsoft Office

Job description

Role Details

Role Name: Sr. Provider Relations Representative

Location: Columbia, SC 29203

Work Environment: Onsite

Schedule: 8:00 am-5:30 pm. A flexible 8‑hour workday – possibly some overtime and off‑hour shifts, but not regularly.

Contract Length: 7‑month assignment with possible conversion

Job Summary

Provides education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. Develops and produces all training and educational materials.

Day to Day

• 60% Develops, prepares, reviews, and updates all provider education materials—including web‑based training, computer‑based training, ACT (Ask the Contractor) calls, outreach presentations/proposals, listserv articles, news highlights, calendar of events, job aids, resource tools, and web page content. Conducts and facilitates meetings, workshops, training classes, and teleconferences with providers and group members.
• 25% Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, and state/local medical and professional associations. Responds to educational needs and acts as liaison between the division and these groups, ensuring training needs are met. Responds to and resolves problems/issues identified through meetings, workshops, correspondence, etc.
• 10% Performs administrative functions in support of education and training. Produces and generates various reports to management and provides feedback on activities.
• 5% Contributes to special projects as assigned.

Job Requirements

Required Skills and Abilities

• Demonstrated skills related to training materials development.
• Demonstrated skills related to classroom presentations to large groups.
• Working knowledge and understanding of government healthcare programs and HIPAA policies and procedures.
• Demonstrated proficiency in word processing, spreadsheet, and database software.
• Good judgment skills.
• Demonstrated proficiency in spelling, punctuation, and grammar skills.
• Demonstrated verbal and written communication skills.
• Analytical and critical thinking skills.
• Basic business math proficiency.
• Ability to persuade, negotiate, or influence others.
• Ability to handle confidential or sensitive information with discretion.
• Ability to identify learning objectives.
• Strong course design skills, including the use of media and other instructional methods.
• Ability to evaluate progress in addition to the actual delivery of training sessions.

Required Software and Tools

Microsoft Office.

Required Education

Bachelor's degree, OR 4 years of job‑related experience, OR a combination of education and experience.

Required Work Experience

4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination.