Provider Relations Rep – Somerset, NJ Position Available In Somerset, New Jersey

Provider Relations Rep•Somerset, NJ
Req #: 0000205856

Category:

Professional / Management

Status:

Full-Time

Shift:

Day

Facility:

RWJBarnabas Health Corporate Services

Department:

Accountable Care Organization

Salary:

$56,797.00•$80,225.00 per year

Location:

RWJ•379 Campus Dr. Somerset, 379 CAMPUS

DRIVE, SOMERSET, NJ 08873

Job Title:

Provider Relations Rep Location:

RWJ•379

Campus Dr, Somerset Department Name:

Accountable Care Organization Req #:0000205856

Status:

Salaried Shift:

Day Salary Range:

$56,797.00•$80,225.00,

Annual Pay Transparency:

The above reflects the anticipated salary range for this position if hired to work, The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate’s educational background, skills and professional experience, Job Overview The Provider Relations Rep will be responsible for developing and maintaining relationships with physician and business leadership of key physician groups The Provider Relations Rep will oversee and monitor all provider activities which includes ensuring network accessibility thresholds are met assist and troubleshooting with the EHR connectivity securing contracts amendments and single case agreements as needed managing the provider termination process and other related duties which impact the overall network

Qualifications:

Required:

Associate Degree or higher required
Must possess strong interpersonal communication management and technology skills
Must demonstrate team building and collaborative practice behaviorsDemonstrate ability to multitask prioritize and use good judgement in a fast paced environment
Must have strong organizational skills
Strong presentation and problem solving skills familiar with root cause analysis Preferred 1 to 3 years of healthcare experience preferred
Physician office operations experience Essential Functions Assist with establishing connectivity with the Partner s EHR and RWJBH System s EHR partnering with IT&S Department
Assist with partner physicians connectivity issue, provide education and repeated training as needed on the EHR connectivity solution
Review the practices usage of the platform and work with the practice to improve the network integrity through the optimal usage of the platform
Communicates with external constituents and effectively engages the provider community demonstrating the organization s value proposition
Manage a database of potential providers for recruitment gather necessary data and relevant information to present to management for effective contract negotiations maintain an effective tracking system of all outreach attempts communications and final outcomes
Manages roster changes for practices participating in value based contracts and communicates roster changes to all payers
Manages communications to payers for value based practice attribution
Initiates the execution of value-based contracts and maintains contracting database
Resolves first line policy questions referred by practice staff and works with partner managers as needed to resolve escalated issues
Works collaboratively with partner departments information technology and facility based programs to provide seamless customer service to providers be open to be EPIC trained as needed for the system
Participates as a representative of Network Management Administration team on internal committees and workgroups as assigned
Contributes to the Network Management Administration team effort by accomplishing related tasks and projects as needed
Maintains RWJBH Medical Neighborhood operationally and audit physician s demographic information who are participating in Medical Neighborhood to ensure data accuracy
Assists with any other projects for the network management department as required Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job Duties responsibilities and activities may change at any time with or without notice.

Additional Information:

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health. Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short•& Long-Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer