Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Department Description:

Integrated Care Partners (ICP) is a physician-led, clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current, rapidly changing medical environment.

Position Summary:

An excellent opportunity for an experienced Provider Relations Specialist professional with initiative and the desire to be a key contributor to develop the Provider Relations team, working with Practices across regions. Working closely with senior leadership, the Provider Relations Specialist is responsible for the implementation of strategies to enhance provider relations, respond to member service needs and build market share. The Provider Relations Specialist will work collaboratively with key service lines, departments and programs, as well as other affiliates to maximize physician utilization and satisfaction.

Position Responsibilities:

1. Serve as the primary liaison between Integrated Care Partners and its members; planning and conducting physician practice visits on a regular basis (Travel required)
2. Provide education on a host of subject matters, including ICP processes and procedures, payer systems and organizational initiatives
3. Develop strong business relationships by building loyalty and trust between Integrated Care Partners and its members (physicians, hospitals, ancillary, etc.) and their management
4. In coordination with the Administrative team, assist with recruitment strategies of provider members
5. Ensures that provider relationships with ICP are positive and productive for both parties
6. Responsible for direct outreach with Physician Practices; assisting with service needs and facilitating the resolution of any issues
7. Identify, research and resolve provider issues, including, but not limited to payment, authorization, eligibility and member matters
8. Collaborates with administrative and system staff as necessary to ensure the appropriate paperwork is processed, contracts are executed
9. Builds and strengthens relationships with practice managers and physician office staff
10. Develop training, educational, and communication materials for providers and office staff
11. Ability to research, understand, and explain healthcare services' volume, utilization, and market data and demographics pertaining to payer contracts
12. Helps to coordinate social and educational events to promote physician engagement
13. Responsible for other duties and special projects as assigned

Reports To: Director of Contracting & Payer Relations

Qualifications

Education: Bachelor’s degree or equivalent required

Experience: Minimum of 3-5 years of healthcare experience in inpatient, outpatient, or private practice setting, or with an Insurance company, with strong business development skills. Experience as a Practice Manager or working with a physician practice site and/or hospital setting is a plus, but is not required

Knowledge, Skills and Ability Requirements:

• The ideal candidate will have experience working as a Provider Relations representative for an insurance company/ payer
• Knowledge of various provider payment methodologies desired
• Excellent oral and written communication skills, as well as customer service skills. Demonstrated ability to work effectively with physicians and other health care professionals
• Strong computer skills - proficiency with Microsoft computer applications including Outlook, Word, Excel and PowerPoint
• Ability to multi-task, work independently to achieve goals
• Experience with a customer relation management tool/platform (i.e. Sales Force) is preferred

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

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