2mo
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Provider Relations Representative
Miami Lakes, Florida, United States
OnsiteFull Time
2+ YOEBachelor’s degree; 2+ years in provider relations; fluent English and Spanish; strong communication/interpersonal and organizational skills.
1w
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Representative, Provider Relations
Columbia, South Carolina, United States
OnsiteFull Time
2+ YOEBachelor's degree or equivalent experience; 2 years experience in customer service/claims/training/provider relations; strong presentation, instructional design, analytical, and Microsoft Office skills.
Microsoft Office, Microsoft Access
1w
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Provider Relations Representative
Roseburg, Oregon, United States
$60k-$69k/yr HybridFull Time
3+ YOEBachelor’s degree or equivalent experience, 3 years provider relations/health plan operations, knowledge of managed care/CCOs, advanced Microsoft Office skills, data collection and reporting, attention to detail, no federal exclusions.
Microsoft Office
3w
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Provider Relations Representative
Durant or Sherman or Denton or Franklin
FieldFull Time
Bachelor's degree required; experience in healthcare required; strong negotiation, presentation and Microsoft Office skills; ability to contract, credential, educate and maintain provider networks; travel to provider locations; telework optional.
Microsoft Office Suite
2mo
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Provider Relations Representative
Indianapolis, Indiana, United States
RemoteFull Time
3+ YOE3+ years in healthcare network relations/TPA with strong communication and MS Office skills; remote-friendly; capable of travel occasionally.
Microsoft Excel, Microsoft Word, Zoom, QicLink, VBA
3d
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Provider Relations Representative, Senior
Long Beach or San Diego or Woodland Hills
$82k-$123k/yr HybridFull Time
5+ YOECollege degree or equivalent, 5+ years provider relations experience, strong organizational and presentation skills, knowledge of California provider networks and regulatory requirements.
3mo
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Provider Relations Representative - Hybrid
Pittsburgh, Pennsylvania, United States
HybridFull Time
2+ YOEFull-time provider relations role in behavioral health; hybrid in Pittsburgh; BA/BS in healthcare or related field; 2+ years in healthcare/complex environments; strong communication.
2d
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Provider Relations Representative
Buffalo or Williamsville
$20/hr HybridFull Time
Prior customer service experience in healthcare preferred; high school diploma/GED; knowledge of CPT/ICD/HCPCS coding, strong communication, problem-solving, and multitasking skills.
CPT, ICD-9-CM, ICD-10-CM, HCPCS
6d
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Provider Relations Representative
Philadelphia, Pennsylvania, United States
$51k-$58k/yr OnsiteFull Time
3+ YOEBachelor's degree preferred, minimum 3 years relevant experience (mental health/managed care preferred), proficiency with Microsoft Office, strong analytic, communication and customer service skills; COVID-19 vaccination required.
Microsoft Office
1w
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Provider Relations Representative - PCP
Virginia or Hampton or Newport News or Williamsburg or Chesapeake or Virginia Beach or Suffolk or Portsmouth or Norfolk or Glen Allen
$59k-$81k/yr RemoteFull Time
2+ YOEMust reside in Tidewater, VA; 2+ years healthcare/managed care provider experience; strong relationship management, presentation, and problem-solving skills; knowledge of managed care operations and Microsoft Office.
Microsoft Office, Availity
1mo
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Provider Relations Representative I (Hybrid)
Baltimore, Maryland, United States
$49k-$98k/yr HybridFull Time
2+ YOEAssociate's degree (or additional 2 years relevant experience), 2 years experience with CareFirst or comparable systems, provider/customer service/claims experience, strong MS Office skills, provider relationship management and issue resolution skills.
Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Word, FACETS
2mo
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Provider Relations Representative- Health Plan
Dallas, Texas, United States
OnsiteFull Time
4+ YOE4 years provider support/education/relationship management or contracting; 3 years claims/billing/revenue cycle; three years fee schedule maintenance; bachelor's degree preferred.
CPT, ICD-10, CMS 1500, UB-04, Billing systems
2w
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Representative, Health Plan Provider Relations
Waltham or Boston or Long Beach
$23-$44/hr FieldFull Time
2+ YOE2+ years customer service/provider services/claims experience in managed care or medical office; understanding of healthcare delivery; Microsoft Office proficiency; strong organizational, communication, and multitasking skills.
Microsoft Office, Electronic Data Interchange (EDI), EMR, provider portal, provider website
2w
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Provider Relations Walkthrough Representative
Austin or San Antonio or El Paso County or Hudspeth County or Culberson County or Jeff Davis County or Presidio County or Brewster County or Loving County or Reeves County or Pecos County or Terrell County or Cleveland or California or Colorado or District of Columbia or Illinois or Maine or Maryland or Massachusetts or Minnesota or New York or New Jersey or Virginia or Washington
RemoteFull Time
2+ YOE2+ years healthcare administration experience, 2+ years Medicaid/managed care experience, knowledge of Medicaid programs, strong customer service and communication, able to attend in-person visits; ~10% regional travel.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
1mo
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Senior Provider Relations Representative
San Diego, California, United States
$73k-$130k/yr OnsiteFull Time
5+ YOE5+ years in managed care; proficiency in managed care operations; experience training on policies; meeting coordination; CPT/ICD-9 knowledge; contract interpretation; strong communication and organization; CA driver’s license.
Microsoft Office, Managed care software
4w
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Provider Relations Representative - St. Luke's Health Plan
Boise, Idaho, United States
HybridFull Time
4+ YOEServe as primary contact for provider groups, monitor/enforce policies, educate providers, handle issue intake; requires knowledge of insurance claims, revenue cycle or medical billing, commercial and Medicare Advantage; 4 years relevant experience; Bachelor's or equivalent experience.
1mo
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Oncology Provider Relations Representative (Pharmacy Technicians)
Kendall or North Shore or Miami-Dade County or Florida
$70k-$85k/yr FieldFull Time
5+ YOEBachelor's degree or equivalent experience preferred; pharmacy technician license in Florida preferred; minimum 5 years in healthcare business development/physician liaison/oncology marketing; valid driver's license and reliable transportation; strong communication and presentation skills.
Smartsheet
3mo
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Medicaid Provider Relations Rep II
Portland, Oregon, United States
$55k-$68k/yr HybridFull Time
3+ YOE3+ years provider relations experience; expertise in Medicaid claims, payment methodologies, Value Based Care, and Oregon rules; college degree or equivalent; proficiency in Microsoft Word/Excel/PowerPoint; training delivery and travel for provider sessions.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Provider Relations Representative - Other Admin- Part-Time
Eureka, California, United States
$28-$43/hr OnsitePart Time
1+ YOE1 year experience with physicians in managed care/IPA or health plan; valid driver license may be required; willingness to drive as needed.
1w
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New Dawn ABA – Provider Relations & Community Outreach Representative
Kansas City or St. Louis or Columbia
$60k-$90k/yr FieldFull Time
0+ YOERelationship-building experience preferred; valid driver's license and reliable transportation required; strong verbal/written communication; ability to travel locally across Kansas City, St. Louis, and Columbia, MO.
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