Sr. Provider Relations Representative

Company: University Health System- San Antonio
Location: San Antonio
Posted on: September 24, 2022

Job Description:

POSITION SUMMARY/RESPONSIBILITIESWorking with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to assigned providers to ensure that all of the groups are effectively informed and updated by the health plan as necessary. Demonstrates an ability to develop and manage the relationship with large and complex provider groups including IPAs and PHOs. Effectively manages individual providers requiring focused attention. Resolves complex issues effecting provider relations.EDUCATION/EXPERIENCEA Bachelor's degree in health care administration, business or a related area is required. Five years of progressively increasing responsibility and experience in managed care environment may be substituted for the Bachelor's degree. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.LICENSUREValid Texas drivers' license and a reliable vehicle are required.

Keywords: University Health System- San Antonio, San Antonio , Sr. Provider Relations Representative, Other , San Antonio, Texas