Provider Relations Coordinator

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Provider Relations Coordinator to join our growing team.

Job Summary:

The Provider Relations Coordinator plays a pivotal role on the Utilization Management contract, serving as a key link between the company, providers, and members. This position will ensure adherence to critical submission policies, and addressing member concerns, ultimately contributing to the overall satisfaction and success of the contract.

*This is a remote position based within the State of Virginia and follows regular Eastern Time business hours.

Responsibilities:

• Provide orientation and ongoing technical assistance for new/existing providers.
• Maintain regular communication with providers and members through various mediums.
• Create and Update Provider Manuals and User Guides.
• Create educational training content for members.
• Provide technical assistance when requested or identified to enrolled providers.
• Develop and conduct provider training sessions as contracted.
• Collaborate with the Program Director and/or Clinical Manager to organize stakeholder meetings.
• Coordinate provider satisfaction surveys
• Manage provider email boxes.
• Assist in evaluating provider quality trends and developing tutorials to educate providers.
• Perform ongoing training to providers on how to submit requests utilizing the company's ANG system.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to.

Required qualifications:

• Bachelor's Degree and a minimum of two years of experience; or an equivalent combination of education and experience
• Effective communication skills both verbally and in writing

Preferred qualifications:

• Experience or familiarity with prior authorization or utilization reviews
• Experience working with community service providers and clinicians such as counselors, social workers, physicians
• Proficiency with Microsoft Suite including Outlook, Teams, Excel, and Word
• Proficiency in reviewing and analyzing documentation against established standards
• Possess knowledge of training or workplace learning methodologies
• Be adept at navigating computer applications across multiple screens
• Show familiarity with adult learning principles
• Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues
• Excellent communication skills, both verbal and written
• Strong teamwork and collaboration abilities
• Effective problem-solving skills with a focus on critical thinking
• Adaptability and flexibility in a dynamic work environment
• Efficient time management, including the ability to prioritize tasks and meet deadlines

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

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