Provider Relations Representative jobs in Saint Cloud, MN

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)

H
Provider Relations Specialist - Minnesota Market (Hybrid)
  • Homeward
  • Saint Cloud, MN FULL_TIME

  • The Opportunity

    We are seeking a highly motivated Provider Relations Specialist responsible for field activities that provide education and support to providers in the Homeward service area. The Provider Relations Specialist will work with local providers to optimize quality and total cost of care performance based on health plan contractual arrangements.


    What You’ll Do:

    • An understanding of value-based care and risk-sharing methodology
    • Experience impacting cross-functional clinical and operational teams through informal leadership
    • Relationships within the Minnesota physician market and the ability to gain confidence and build partnerships within the same physician market
    • Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone
    • Serve as primary contact for providers, serving as a liaison between the provider and Homeward
    • Experience with clinical and physician outreach activities - particularly with rural community resources -  to develop programmatic partnerships and referral management
    • Ability to gain access to decision-makers either by experience, reputation, or education
    • Exceptional project management, communication, and leadership skills
    • Willingness to travel daily within the rural counties of Minnesota for business development purposes
    • Experience with healthcare strategy and a passion for re-architecting how health and care are delivered
    • Conduct provider onboarding, orientation, and ongoing educational training throughout the year to optimize provider performance
    • Conduct regular face-to-face meetings with the providers, documenting discussions, issues, attendees, and action items covering claims issues, quality care gaps, CAHPS, the use of HCCs, and member and provider rosters
    • Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
    • Create detailed reporting of provider visits, inquiries, trainings, and growth opportunities
    • Collaborate with Homeward Navigators to ensure patients receive timely access to appropriate, high-quality care from assigned providers
    • Problem-solve and identify ways to address provider issues timely and effectively
    • Maintain and update provider rosters
    • Investigate and communicate provider changes
    • Work cross-functionally with internal departments
    • The position requires the use of high-speed internet
    • Must be able to travel frequently to the assigned service areas
    • Other duties assigned by department leaders

    What You Bring:

    • Bachelor’s degree or equivalent years of experience preferred
    • 2-3 years experience in provider network scope of services
    • Strong understanding of Managed Care Operations
    • Excellent written and verbal communication skills
    • Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)
    • Experienced in healthcare, provider engagement, Medicare, Medicaid, and Commercial managed care systems
    • Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you
    • Possess strong organizational skills, plan daily activities, and demonstrate initiative with minimal supervision to complete projects
    • Comfortable with ambiguity and biased towards action. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value
    • Comfortable working in a fast-paced environment
    • Strong priority management, working independently, effectively managing time and resources

    What Shapes Homeward:

    • Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
    • Compassion and empathy
    • Curiosity, and an eagerness to listen
    • Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
    • Strong focus on sustainability of our business and scalability of our services, to maximize our reach and impact
    • Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view
    • Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!

    Benefits:

    • Competitive salary and equity grant
    • Unlimited PTO
    • Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
    • Unlimited Paid Time Off
    • Company-sponsored 401k plan

    At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

    Homeward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

  • 1 Day Ago

M
Customer Relations Representative - State Farm Agent Team Member
  • Mick Quinn - State Farm Agent
  • Benson, MN FULL_TIME
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
  • 19 Days Ago

T
Customer Relations Representative - State Farm Agent Team Member
  • Travis Williams - State Farm Agent
  • Monticello, MN FULL_TIME
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the...
  • 19 Days Ago

J
Customer Relations Representative - State Farm Agent Team Member
  • Jan Scriver - State Farm Agent
  • Big Stone, SD FULL_TIME
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the...
  • 20 Days Ago

D
Customer Relations Representative - State Farm Agent Team Member
  • Dan Anderson - State Farm Agent
  • Saint Cloud, MN FULL_TIME
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
  • 20 Days Ago

R
Customer Relations Representative - State Farm Agent Team Member
  • Ryan Witte - State Farm Agent
  • Glenwood, MN FULL_TIME
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
  • 20 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Provider Relations Representative jobs found in Saint Cloud, MN area

P
PART TIME Member Services Representative
  • Planet Fitness
  • Saint Cloud, MN
  • NOW HIRING FOR PART TIME POSITIONS FOR OUR ST. CLOUD LOCATION Job Summary The Member Services Representative will be res...
  • 3/28/2024 12:00:00 AM

T
BROILER SERVICE REPRESENTATIVE
  • The Judge Group
  • Cold Spring, MN
  • POSITION SUMMARY: The Broiler Service Representative is responsible for working with broiler growers to obtain maximum q...
  • 3/28/2024 12:00:00 AM

O
Part-Time Patient Access Representative Associate - Fridley, MN
  • Optum
  • Saint Stephen, MN
  • $500 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Op...
  • 3/26/2024 12:00:00 AM

O
Patient Access Representative Associate - Saint Paul, MN
  • Optum
  • Saint Joseph, MN
  • $1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an ...
  • 3/25/2024 12:00:00 AM

O
Part-Time Patient Access Representative Associate - Faribault, MN
  • Optum
  • Saint Joseph, MN
  • $500 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Op...
  • 3/25/2024 12:00:00 AM

O
Patient Access Representative Lead - Hastings, MN
  • Optum
  • Rockville, MN
  • $1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an ...
  • 3/25/2024 12:00:00 AM

O
Part-Time Patient Access Representative Associate - Saint Paul, MN
  • Optum
  • Rockville, MN
  • $500 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Op...
  • 3/25/2024 12:00:00 AM

O
Part-Time Patient Access Representative Associate - Hastings, MN
  • Optum
  • Cold Spring, MN
  • $500 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Op...
  • 3/25/2024 12:00:00 AM

St. Cloud is a city in the U.S. state of Minnesota and the largest population center in the state's central region. Its population is 67,984 according to the 2017 US census estimates, making it Minnesota's tenth largest city. St. Cloud is the county seat of Stearns County and was named after the city of Saint-Cloud, France (in Île-de-France, near Paris), which was named after the 6th-century French monk Clodoald. Though mostly in Stearns County, St. Cloud also extends into Benton and Sherburne counties, and straddles the Mississippi River. It is the center of a small, contiguous urban area tot...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$51,258 to $65,575
Saint Cloud, Minnesota area prices
were up 1.3% from a year ago