Provider Relations Specialist, Mid

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra is looking for a Provider Relations Specialist to join our growing team.

Job Summary:

This position assists in the support of providers, provider contracting, provider workflows, provider education withinf the department to identify, track, negotiate and provide support to the provider network.

Job Responsibilities:

• Overall responsibility for carrying out a variety of the day to day tasks within the department.
• Manage communication with providers via the network provider phone line and provider relations email.
• Ensure provider coverage statewide is maintained for our client.
• Responds to provider queries, monitors key processes, and reports information regularly to the Provider Relations Supervisor
• Communicates professionally and effectively with our Provider network as the key representative of Acentra Health OCCCS
• Negotiates market specific items with providers to ensure quality and cost effectiveness.
• Ensures that all applications of providers are processed in a timely manner.
• Assist with routine re-credentialing of providers to verify active license and malpractice insurance , as well as state FFS requirements

Required Qualifications

• A Bachelor's Degree or equivalent education (equivalent combination of education and relevant experience will be considered
• 2 plus years administrative experience (preferably in healthcare or behavioral health);
• Must be proficient in Word, Excel, and PowerPoint
• High integrity, detail oriented and works with strong work ethic
• Strong verbal and written communication skills with experience creating and presenting information in person or by webinar
• Excellent teamwork and customer service skills-listening, dealing with difficult customers

Preferred Qualifications:

• Field base provider recruitment/relations experience
• Equity and Diversity Training or Experience
• Bilingual (any)
• Network adequacy standards
• CMS standards
• Knowledge of CLAS/CLSS standards for providers
• Experience working with OHA provider network

Why us?

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.