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Job Description
Role Name:
Sr.
Provider Relations Representative Location:
Columbia, SC 29203
Work Environment:
Onsite Schedule:
8:00 am-5:30 pm. A flexible 8-hour workday - Possibly some overtime and off-hour shifts, but not regularly.
Contract length:
7 months assignment with possible conversion
Job Summary:
Provides education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. Develops and produces all training and educational materials. Day to
Day:
60% Develops, prepares, reviews, and updates all provider education materials. These may include web-based training, computer-based training, ACT (Ask the Contractor) calls, outreach presentations/proposals, listserv articles, news highlights, calendar of events, job aids, resource tools, and web page content. Conducts and facilitates meetings, workshops, training classes, and teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, and referral agents. 25% Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, and state/local medical and professional associations. Responds to educational needs. Acts as liaison between the division, the above-mentioned groups, and appropriate state/federal agencies to ensure training needs are met. Responds to and resolves problems/issues identified through meetings, workshops, correspondence, etc. 10% Performs administrative functions in support of education and training. Produces and generates various reports to management and provides feedback on activities to management. 5% Contributes, participates in, and completes special projects as assigned.
Job Requirements:
Required Skills and Abilities:
Demonstrated skills related to training materials development. Demonstrated skills related to classroom presentations to large groups. Working knowledge and understanding of government healthcare programs and HIPAA policies and procedures. Demonstrated proficiency in word processing, spreadsheet, and database software. Good judgment skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated verbal and written communication skills. Analytical and critical thinking skills. Basic business math proficiency. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Ability to identify learning objectives. Strong course design skills, including the use of media and other instructional methods. Ability to evaluate progress in addition to the actual delivery of training sessions.
Required Software and Tools:
Microsoft Office.
Required Education:
Bachelor's degree, OR 4 years of job-related experience, OR a combination of education and experience.
Required Work Experience:
4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination
