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Representative, Provider Relations - CFHP

Job Description

POSITION SUMMARY/RESPONSIBILITIES
Working with Department management recruits and trains primary care physicians and a limited panel of specialists and appropriate office support staff on basic Health Plan operation issues and health plan service delivery issues. Responds to and effectively resolves issues and concerns of PCPs, specialty providers within assigned geographic territory documenting resolution, initiating additional training identified and communicating trends to management staff.

EDUCATION/EXPERIENCE
Minimum of two years college level work in business, health care administration or a related area is required. An Associate's degree is highly preferred. Two years of progressively increasing responsibility and experience in a managed care environment may be substituted for the two years college level work. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.

LICENSURE
Valid Texas driver's license as well as a reliable vehicle is required.

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Job Requirements

 

Job Snapshot

Location US-TX-San Antonio
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

University Health System

University Hospital is the only pediatric trauma center for San Antonio and South Texas. The trauma team at University Hospital is recognized for its expertise in treating serious injuries and burns in children by the American College of Surgeons (ACS). Learn More

Contact Information

US-TX-San Antonio
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Snapshot
University Health System
Company:
US-TX-San Antonio
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

POSITION SUMMARY/RESPONSIBILITIES
Working with Department management recruits and trains primary care physicians and a limited panel of specialists and appropriate office support staff on basic Health Plan operation issues and health plan service delivery issues. Responds to and effectively resolves issues and concerns of PCPs, specialty providers within assigned geographic territory documenting resolution, initiating additional training identified and communicating trends to management staff.

EDUCATION/EXPERIENCE
Minimum of two years college level work in business, health care administration or a related area is required. An Associate's degree is highly preferred. Two years of progressively increasing responsibility and experience in a managed care environment may be substituted for the two years college level work. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.

LICENSURE
Valid Texas driver's license as well as a reliable vehicle is required.

#cbcg

Job Requirements

 
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Representative, Provider Relations - CFHP Apply now