Provider Relations Representative, Sr. jobs in Ontario, CA

Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Representative
  • WelbeHealth
  • Riverside, CA FULL_TIME
  • WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out of institutions, and cared for like family, all while receiving the healthcare and social services needed to thrive.

    As we continue to serve our current markets and expand into new territories to best serve our participants, our Provider Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we serve.

    We are very excited to welcome a Provider Relations Representative to our team in the brand-new Riverside market. This will be a hybrid position where you will be out in the field within the Riverside region 3 days per week, and working remotely the remaining two days per week. 

    Essential Job Duties:

    · Initiate and maintain effective channels of communication with our high-quality network of aligned providers through ownership of implementation and provider relations functions

    · Establish and maintain relationships with our high-quality network of aligned providers through office visits, virtual visits (e.g., Teams), telephone calls, prompt resolution of issues, and excellent customer service

    · Proactively and collaboratively assess how to further serve our provider network partners and measure provider satisfaction

    · Guide partners from initial provider training/onboarding of plan policies, procedures, and available technology (e.g., Provider Portal), through ongoing engagement and relationship optimization

    Job Requirements:

    · Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization, required. 

    · Bachelor’s degree preferred; may substitute additional years of experience in lieu of education

    · Demonstrated aptitude of going above and beyond in providing service to our network partners

    · Previous field-based experience with the willingness to travel onsite to assigned region on a regular basis to build trust-based relationships with a diverse group of stakeholders

     

    Benefits of Working at WelbeHealth: Apply your expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

    · Medical insurance coverage (Medical, Dental, Vision)

    · Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time

    · Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!

    · And additional benefits

    Salary/Wage base range for this role is $82,074.03 - $87,000.00 annually Bonus Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.  Actual pay will be adjusted based on experience and other qualifications.

  • 8 Days Ago

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Provider Relations Representative
  • WelbeHealth
  • Riverside, CA FULL_TIME
  • WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the...
  • 8 Days Ago

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DIRECTOR OF PROVIDER RELATIONS
  • Universal Health Services, Inc.
  • Corona, CA FULL_TIME
  • Responsibilities Join the Corona Regional Medical Center Team! About Us:The tradition of caring that culminated in the establishment of Corona Regional Medical Center began in 1965, with the founding ...
  • 19 Days Ago

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Director of Network Development and Provider Relations
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Director of Network Development and Provider Relations Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-153822 Category Director Position Type Full Time Shift Days Job Type Exem...
  • 1 Month Ago

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Director of Network Development and Provider Relations
  • Prime Healthcare Management Inc
  • Ontario, CA FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 2 Months Ago

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SR ACCOUNTANT - PROVIDER COMPENSATION & PAYROLL
  • Universal Health Services, Inc.
  • Riverside, CA FULL_TIME
  • Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your ...
  • 5 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Ontario, CA area

Ontario is a city located in southwestern San Bernardino County, California, 35 miles (56 km) east of downtown Los Angeles and 23 miles (37 km) west of downtown San Bernardino, the county seat. Located in the western part of the Inland Empire metropolitan area, it lies just east of Los Angeles County and is part of the Greater Los Angeles Area. As of the 2010 Census, the city had a population of 163,924, up from 158,007 at the 2000 census, making it the county's fourth most populous city after San Bernardino, Fontana, and Rancho Cucamonga.[not verified in body] The city is home to the Ontario ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$75,885 to $94,108
Ontario, California area prices
were up 3.0% from a year ago

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020