This is a full-time, benefited remote position. Must be local in San Diego or willing to relocate. The ideal candidate will be someone who is experienced with Provider Relations, Managed Care Background, has worked for a Medical Group or Health Plan, and is committed to delivering exceptional customer service.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
The Senior Provider Relations / Contract Specialist is the liaison between the medical groups, network providers and Scripps Clinic Health Plan Services. Decision making authority regarding processes related to the contractual arrangements. Responsibilities may include, but are not limited to: reporting, auditing, documentation, communication, training and effective resolution of issues. Ensures exceptional customer service and builds effective relationships between the organizations. Attends meetings at medical groups to provide input and support in relation to managed care. Thoroughly researches issues and interacts with management in Managed Care Operations to facilitate effective processes. Assists in network contracting ensuring ease of implementation of contracts and standardization of rates whenever possible.
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Required Education/Experience/Specialized Skills:
Preferred Education/Experience/Specialized Skills/Certification: