Provider Member Liaison - Part-Time - (Remote Within the State of Maine)

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 Health is looking for a Provider Member Liaison to join our growing team.

Job Summary

The Provider & Member Liaison Coordinator plays a vital role within the Utilization Management contract, serving as the central connection between Acentra Health, healthcare providers, and members. In this role, you will help ensure smooth communication, compliance with key submission policies, and timely resolution of provider and member inquiries.

Please note that this is a part-time position. Your work will directly impact the efficiency of service delivery, the satisfaction of our members and partners. This an excellent opportunity for a detail-oriented, service-driven professional who thrives in a collaborative environment and is passionate about making a meaningful impact in healthcare.

Responsibilities

• Provide orientation and ongoing technical assistance for new and existing providers.
• Maintain regular communication with providers and members through various mediums.
• Create and Update Providers and Member's Manuals and User Guides.
• Create educational training content for members.
• Provide technical assistance when requested or identified to enrolled providers.
• Develop and conduct provider training sessions as contracted.
• Collaborate with the Program Director and/or Clinical Manager to organize stakeholder meetings.
• Manage provider email boxes.
• Assist in evaluating provider quality trends and developing tutorials to educate providers.
• Perform ongoing training to providers on how to submit requests utilizing the company's ANG system.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
• The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Required Qualifications

• Must have a Bachelor's Degree or Associate's Degree in a Human Service/Education field or discipline.
• Minimum of 1 year of experience with utilization management.
• Experience or Educator with customer service required.

Preferred Qualifications

• Must demonstrate proficiency in reviewing and analyzing documentation against established standards.
• Possess knowledge of training or workplace learning methodologies.
• Be adept at navigating computer applications across multiple screens.
• Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues.
• Excellent communication skills, both verbal and written.
• Strong teamwork and collaboration abilities.
• Effective problem-solving skills with a focus on critical thinking.
• Adaptability and flexibility in a dynamic work environment.
• Efficient time management, including the ability to prioritize tasks and meet deadlines.

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.

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 https://careers.acentra.com/jobs

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, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The hourly pay for this position is $26.00 - $29.00 per hour.

"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."

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