Provider Relations Representative jobs in New York, NY

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Advocate
  • CAIPA MSO LLC
  • New York, NY FULL_TIME
  • Description

    As a Provider Relations Advocate, you will be expected to coordinate and document provider inquiries and provide prompt and courteous service to requests for assistance for all providers via face-to-face, telephone calls, faxes, and emails. Assist in supporting the network strategies and network initiatives via calls or in-person outreach. The successful individual must be able to communicate and collaborate effectively with others; internal as well as external contacts and resources in order to achieve desired results and resolution of issues.


    Responsibilities:

    • Resolves provider issues by researching causes and working with various health plans and internal stakeholders.
    • Build and maintain provider relationships with practices through active outreach
    • Assist in designing and implement programs that nurture positive relationship between IPA/Provider/Healthplan
    • Identify gaps in network composition and services and help support strategies for network initiatives, including network expansion, recruitment, and contracting supports.
    • Leading and reporting on monthly meetings.
    • Responds to provider that is seeking assistance.
    • Works with providers, health plans, and internal departments.
    • Builds collaborative relationships with multiple health plan representatives and providers.
    • Staying updated and providing education to providers on various health plan policies.
    • Assisting and completing various projects on time.
    • Other duties and projects as assigned in line with department and company needs.



    Requirements

     Requirements

    • Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
    • Proven analytical skills
    • Excellent multi-tasking, prioritizing, and time management skills.
    • Knowledge and experience with Adobe, and Microsoft Office products.
    • Bachelor's Degree; or two years related experience and/or training.
    • Chinese language is preferred but not required.
    • Willing to travel 70% of the time in the field working hands on with providers

    Benefits

    • Competitive Health Benefits including Medical, Vision, Dental and Life Insurance
    • 401k retirement plan with a 6% corporate match 
    • Paid Time Off
    • 13 Paid Holidays
    • Hybrid work schedule

    Salary Range

    $45k-$55k

  • 10 Days Ago

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Manager of Provider Relations
  • MetroPlusHealth
  • New York, NY FULL_TIME
  • Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a c...
  • 13 Days Ago

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Manager of Provider Relations
  • MetroPlus Health Plan
  • New York, NY FULL_TIME
  • Manager of Provider Relations Job Ref: 90227 Category: Professional Department: Provider Network Operations Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: ...
  • 20 Days Ago

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Director of Provider Relations
  • Shatterproof
  • new york, NY FULL_TIME
  • Treatment Atlas Director of Provider Relations DEPARTMENT DIRECT REPORT(S) Treatment Atlas0TRAVEL REQUIRED LOCATION Up to 50%Remote – California RequiredTERM SALARY Full-Time, Permanent$89,000-$105,00...
  • 1 Month Ago

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Sr. Director, Investor Relations
  • Stern Investor Relations
  • New York, NY FULL_TIME
  • *This role is remote* Position Summary: Provides high-quality support to C-level executives and internal corporate communications departments to bolster companies’ corporate strategy and ensure the su...
  • 3 Days Ago

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Biotech Investor Relations Analyst
  • Stern Investor Relations
  • New York, NY FULL_TIME
  • Are you passionate about being a critical part of the innovative biotech industry in an IR consulting capacity? If so, this is an exciting opportunity to work with a team with a long track record of p...
  • 1 Month Ago

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0 Provider Relations Representative jobs found in New York, NY area

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Labor Relations Representative
  • The HR SOURCE
  • Jersey City, NJ
  • Reporting to the Labor Relations Executive, the Labor Relations Representative is responsible for the compilation, updat...
  • 4/19/2024 12:00:00 AM

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Retail Customer Relations Representative
  • SI Bulldogs Inc
  • New York, NY
  • Job Description Job Description Responsibilities and Duties: Greet customers in a courteous, friendly, and professional ...
  • 4/19/2024 12:00:00 AM

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Asset Protection Service Representative - 264 W 125th Street
  • Gap Inc.
  • New York, NY
  • About Gap Gap has always been about optimistic American style. Starting with our very first store on Ocean Avenue in San...
  • 4/19/2024 12:00:00 AM

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DIRECTOR OF YOUTH AND YOUNG ADULT SERVICES
  • City of New York
  • New York, NY
  • Job Description The New York City Human Resources Administration/Department of Social Services (HRA/DSS) provides tempor...
  • 4/17/2024 12:00:00 AM

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Payor Relations Representative / Contract Specialist
  • Accu Reference Medical Laboratory
  • Linden, NJ
  • Job Description Job Description Payor Relations Representative / Contract Specialist Under the general supervision of th...
  • 4/16/2024 12:00:00 AM

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Customer Relations Representative (Remote)
  • N&A Enterprises and Solutions
  • Jersey City, NJ
  • We are looking for an energetic, driven, entrepreneurial, and detail-oriented Remote Customer Relations Representative t...
  • 4/16/2024 12:00:00 AM

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Medical Receptionist/ Patient Relations Representative
  • Plastic Surgical
  • Babylon, NY
  • New York Plastic Surgical Group is seeking a Full-Time Medical Receptionist/Patient Relations Representative to join our...
  • 4/16/2024 12:00:00 AM

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Medical Receptionist/ Patient Relations Representative
  • Plastic Surgical
  • Greenvale, NY
  • New York Plastic Surgical Group is seeking a Part-Time Medical Receptionist/Patient Relations Representative to join our...
  • 4/16/2024 12:00:00 AM

The City of New York, usually called either New York City (NYC) or simply New York (NY), is the most populous city in the United States. With an estimated 2017 population of 8,622,698 distributed over a land area of about 302.6 square miles (784 km2), New York is also the most densely populated major city in the United States. Located at the southern tip of the state of New York, the city is the center of the New York metropolitan area, the largest metropolitan area in the world by urban landmass and one of the world's most populous megacities, with an estimated 20,320,876 people in its 2017 M...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$62,558 to $80,033
New York, New York area prices
were up 1.6% from a year ago