Provider Relations Representative, Sr. jobs in Scranton, PA

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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Community Relations Representative
  • AmeriHealth Caritas Health Plan
  • Hazelton, PA FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders.

    At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

    Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

    Discover more about us at www.amerihealthcaritas.com.

    Responsibilities:

    Under the supervision of the Manager, Community Outreach Programs, this position develops, promotes and implements Community Health Choices (CHC) outreach and education initiatives, programs and events throughout Pennsylvania; assists manager in building annual CHC outreach strategy that supports CHC goals and objectives; ensures activities are carried out within company, state and CMS compliance rules and regulations.

    Position will:

    • Collaborate effectively within AmeriHealth Caritas Family of Companies to develop and implement outreach and education efforts to serve new and existing CHC participants
      • Accomplish goals with and through internal stakeholders in CHC (AmeriHealth Caritas CHC, Keystone First CHC collectively, “CHC”) and across the AmeriHealth Caritas organization (Pennsylvania Medicaid and Medicare plans, Pennsylvania shared services (Compliance, Regulatory and Communication), and corporate shared services (communications and IS).
      • Build and maintain professional relationships with community organizations: develop their awareness of services and programs available to participants; identify opportunities for partnerships; partner with community organizations to host or otherwise participate in CHC participant-focused events.
    • Coordinate outreach and education initiatives through all relevant avenues (via mail, text, telephonic, mobile app, virtual meetings, and other means)
    • Organize, schedule and coordinate all aspects of face-to-face and virtual participant meetings and events.
    • Represent CHC at events organized by AmeriHealth Caritas Medicare plans in Pennsylvania.
    • Prepare internal and external reports. 

    Education/ Experience:

    • Bachelor’s Degree required
    • Spanish speaking preferred.
    • 1 to 3 years of experience in a role interacting with leaders in organizations, structured groups, and the public, in roles that may include public relations, marketing, health communications, advertising, advocacy and promotion
    • Strong ties to the local community
    • Strong interpersonal skills; strong organizational skills and attention to detail; ability to work collaboratively and accountably to accomplish objectives; proven experience using technology platforms to effectively engage and  communicate information and health education to audiences that may not have advanced technology skills (ex. mobile platforms, texting, online meeting platforms, video, ); strong writing skills
    • 75% of time will be spent traveling.  Candidate must possess a valid PA driver’s license, reliable transportation, and auto insurance.  Must be able to move freely within a community setting.

    Diversity, Equity, and Inclusion

    At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

    We keep our associates happy so they can focus on keeping our members healthy.

    Our Comprehensive Benefits Package

    Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

  • 13 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Lisa Zavada-Rizzo - State Farm Agent
  • Harveys Lake, PA FULL_TIME
  • Position Overview State Farm Insurance Agent located in harveys lake , PA is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Lisa Zavada-Rizzo - S...
  • 9 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Beth Moloughney - State Farm Agent
  • Mount Pocono, PA 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 ...
  • 2 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Tony Dgien - State Farm Agent
  • Montoursville, PA 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...
  • 5 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Noreen Thomas - State Farm Agent
  • Clarks Summit, PA FULL_TIME
  • Position Overview Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Customer Relations Representative - State Farm Agent Team Member. We seek a...
  • 7 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Len Mudlock - State Farm Agent
  • SUGARLOAF, PA PART_TIME
  • ROLE DESCRIPTION: As a Customer Relations Representative - State Farm Agent Team Member with Len Mudlock - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce...
  • 22 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Scranton, PA area

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Community Relations Representative
  • AmeriHealth Caritas
  • Hazleton, PA
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/18/2024 12:00:00 AM

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Creative Marketing Representative/Market Analyst
  • van Hoekelen Greenhouses, Inc.
  • McAdoo, PA
  • THE BASICS Maintain website content. Create and maintain an annual catalog. Improve SEO for online presence. Email marke...
  • 4/18/2024 12:00:00 AM

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Medical Equipment Customer Service Representative
  • Rotech Healthcare Inc.
  • Dickson City, PA
  • OVERVIEW: Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound car...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative
  • Azek Co.
  • Scranton, PA
  • ** Customer Service Representative** **Job Category****:** Customer Service **Requisition Number****:** CUSTO01466 Showi...
  • 4/15/2024 12:00:00 AM

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Patient Access Representative - Specialty Clinics
  • Geisinger Health
  • Scranton, PA
  • Location: Geisinger Community Medical Center (GCMC) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Wo...
  • 4/14/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Scranton, PA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/14/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Olyphant, PA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/14/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Tunkhannock, PA
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/14/2024 12:00:00 AM

Scranton is the sixth-largest city in the Commonwealth of Pennsylvania. It is the county seat and largest city of Lackawanna County in Northeastern Pennsylvania's Wyoming Valley and hosts a federal court building for the United States District Court for the Middle District of Pennsylvania. With a population of 77,291, it is the largest city in the Scranton–Wilkes-Barre–Hazleton, PA Metropolitan Statistical Area, which has a population of about 570,000. The city is conventionally divided into 7 districts: North Scranton, Southside, Westside, East Scranton (Hill Section), Central City, Minooka, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$67,660 to $83,908
Scranton, Pennsylvania area prices
were up 1.5% 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