Alignment Healthcare USA, LLC
Provider Engagement Specialist - El, Paso, TX. Field Remote
El Paso, TX
Sponsorship not specified$54k-$82kDetected 14 hours ago
ExcelRecruitingCommunicationProblem SolvingMicrosoft Office
About the role
- General Duties/Responsibilities (May include but are not limited to):
- Assist in the development of training and educational materials/tools.
- Facilitate and serve as a single point of resolution for provider issues, including but not limited to UM, prior authorization, claims, encounter data, eligibility, provider rosters and directory validation.
Responsibilities
- Build and maintain collaborative relationships with providers and their staff to support growth, retention, and performance improvement.
- Consistently utilize, update and maintain department databases and tracking tools to ensure provider engagement activities, provider visits and outcomes are documented and monitored.
- Negotiate and implement standard physician and ancillary agreements; obtain provider credentialing; utilize network database to track recruitment activity.
- Maintain weekly summary of activity and submit reports on a weekly basis.
- Perform special projects as assigned.
- to successfully perform the essential functions of this job.
Requirements
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The
- requirements listed below are representative of the knowledge, skill, and/or ability required.
- institutional provider required
- Attend and participate in all staff meetings as required.
Nice to have
- Bi-lingual English/Spanish - preferred.
- Organized, detail driven and a self-starter.
- Strong analytic, quantitative, and problem-solving skills.
- Strong verbal and written communication skills.
- Relationship-builder and team-player
- Strong presentation skills and ability to address diverse audiences appropriately and
Skills
- Proficient user in MS office suite (Word, Excel and PowerPoint).
- 80% or more travel by car routinely required (In assigned market).
- Travel by plane required as needed.
- Maintenance of reliable means of transportation and valid driver's license and
- automobile insurance required.
- Extended works hours, as needed.
- Remote work on approval.
Compensation
- $54,434.00 - $81,651.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
- Partner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment and other quality indicators.
Benefits
- Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
- In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
- Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
- The Provider Engagement Specialist serves as the main point of contact for providers, offering education, support, and tools to achieve goals.
Company info
- It takes an entire team of passionate and caring people, united in our mission to put the senior first.
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