Jobs in Rancho Cordova, CA

About the role

Manage the Provider Relations functions of ensuring quality customer service and acting as the primary liaison to the Plan's contracted providers to organize and conduct activities to maximize provider retention, interest and loyalty. Oversee all provider outreach activities to ensure that education for providers and resolution of issues are delivered in an accurate, timely, professional and courteous manner. Plan, prepare, and present programs, materials and publications to participating providers. Serve as a primary point of contact and resource to resolve issues raised by, or impacting, the Plan's providers and related support staff. Intervene with hospitals, physicians and other provider contractors to examine specific policies, procedures, complaints in a manner which yields a positive resolution that meets Plan standards, while maintaining provider satisfaction.

What you'll bring

• Requires a BA/BS degree
• 3-4 years of related experience
• or any combination of education and experience, which would provide an equivalent background.
• Requires excellent communication skills (written and verbal) and interpersonal skills
• Must have strong customer service skills, time management and organizational skills
• Must be able to communicate effectively to groups and individuals
• be proficient orally and in writing to answer questions, training, directly, and/or working cooperatively with other staff to encourage teamwork and productivity.
• Will be required to identify, anticipate and solve complex problems, and intervene on behalf of the Plan or a provider to resolve conflicts in a positive manner and to reach an acceptable result.
• Must be able to work independently and assume responsibility for the completion of special projects in a timely manner.
• Requires experience navigating computer applications.
• Provider Relations experience is preferred
• Medicaid experience is preferred.

Benefits