• Manager of Provider Relations (Hybrid/Remote)

    Health Plans, Inc. (Dallas, TX)


    Employers Health Network, LLC. provides comprehensive healthcare plans, which allow employers to provide exceptional quality healthcare benefits at the lowest possible cost. Our plans connect employees directly with the best healthcare providers and our fully transparent pricing allows customers to see, understand and control their healthcare benefit spending.

     

    Days and hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m.

    POSITION SUMMARY

    The Manager of Provider Relations possesses an integration of inter-personal, administrative, and specialized skill sets. This role assists in managing key relationships within network health care groups and employer clients in all EHN Markets. The Manager of Provider Relations will act as an escalation point for all provider relation issues. The Manager of Provider Relations will provide ongoing feedback to health care provider groups regarding financial and utilization performance as well as maintain relationships between providers and EHN clients and customers. The Manager of Provider Relations will also oversee day to day network activity including but not limited to, provider nominations and requests to join, managing provider communications, communicating with clients, provider relations special projects and other duties as assigned. The main responsibilities include but are not limited to:

     

    + Assist in maintaining strong business relationships with hospitals, physician groups, and ancillary providers.

    + Meet regularly with account management, leadership team, project teams, and functional team leaders within health care provider groups and employer clients to review performance metrics, provide network updates, collaborate on projects, participate in population health management discussions, and resolve issues.

    + Manage provider relations team. This includes assigning special projects, managing workloads, assisting with priority setting and staff development.

    + Full responsibility for creating and distributing content for ongoing provider communications and special communications.

    + Create new provider onboarding materials and education documents.

    + Own and manage the provider roster submittal process from end-to-end to ensure completeness and integrity of all network data is.

    + Create monthly department dashboard performance reporting for tracking and trending all aspects of provider service delivery.

    + Ensure health care groups are compliant with EHN provider manual and provide education around topics within the manual, plan guidelines, and clients

    + Serve as escalation point for network related concerns for both employer clients and network providers.

    + Actively participate in and host ongoing provider meetings as needed.

    + Work collaboratively with Network Operations team

    + Abide by all obligations under HIPAA related to Protected Health Information (PHI).

    + If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.

    + Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.

    QUALIFICATIONS AND EDUCATION REQUIREMENTS

    + Bachelor’s Degree or equivalent Provider Relations experience

    + 3-5 years of provider relations experience at supervisory level or above

    + Demonstrate excellent presentation, verbal and written communication skills

    + Experience with client or provider relations, preferably in self-insured employer market

    + Proficiency with MS Excel, Word, and PowerPoint

    + Program performance and understanding of healthcare analytics

     

    WHY CHOOSE US?

     

    + Our Company Culture, with a commitment to quality care, our values are represented in the environment we have created for our own workforce. We are a company that grows through leadership, innovation and drive.

    + We offer a comprehensive benefits package, including medical, HAS, dental and vision plans as well as life and short and long-term disability, 401(k), and employee assistance programs.

    + So, think you want to join the Employers Health Network team? We hope to hear from you!

     

    You can read more about us at https://www.employershealthnetwork.com/careers/

     

    EHN provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, EHN complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

     

    EHN expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of EHN employees to perform their job duties may result in discipline up to and including discharge.