Provider Relations Representative
Provider Relations Representative (Westchester) Innovista Health Solutions - Westchester, IL Innovista Health Solutions is an Illinois-based company with management services operations in Illinois and Texas. We are looking for a Provider Relations Representative in our Westchester, IL office. Innovista Health Solutions is a service organization that enables independent physician models so providers can access, support, and manage delegated risk models and stay independent while payers can diversify and strengthen their network. The Provider Relations Representative (PR Rep) is responsible for managing the assigned Provider Network partnering with the Client for risk or non-risk programs. This includes: facilitating provider communication, program implementation and conflict resolution functions. The PR Rep serves as a liaison between contracted health plans, providers and ancillary providers to promote superior customer service and seamless programs. DUTIES AND RESPONSIBILITIES: * Provider Group management - overall management of assigned Provider Groups; fostering an environment of strong positive relationships and process innovation. * Proactively identify Provider Groups needs, resolving and communicating concerns or complaints regarding risk/non-risk programs to maintain Provider Group satisfaction. * Strategic planning with risk/non-risk to drive enrollment numbers for specific products for unique Provider Groups. * Responsible for coordinating and facilitating all meetings with Provider Groups Office Managers and Care Team trainings. * Coordinate with the Client and/or Account Manager/VP of Account Management to bring innovative processes, reporting, and communication integration for all Provider Groups. * Identify opportunities for improved processes and Provider Group participation in established risk/non-risk programs. * Assure that all Provider Groups trainings, reporting, compliance and site visits are completed within established time frames. * Manage ongoing processes, new integration processes, Provider Relations strategic planning, utilization reporting. * Continuous mindset toward efficiency and process improvement how to apply technology and processes to improve delivery and efficiency from both the Provider Group and internal perspective. * Oversee the maintenance of the Provider Relations database that includes all participating physicians and ancillary providers for the assigned territory * Complete all provider orientations and site visits within designated timeframes. * Represent the organization well at all times; support its mission, goals and objectives; participate as a team player, constantly supporting other managers; set an example of high personal and professional conduct for employees and others. QUALIFICATIONS: * Associates Degree or equivalent work experience. (Bachelors degree a plus) * 1-2 years experience in a physicians office or 3-5 years related experience in health care environment serving in a provider relations role. * Experience in public speaking and/or group presentations. * Strong client focus (provide examples of success) * Value people; demonstrate professional respect and innovative mindset. * Confident in working with heath care professionals. * Passionate about your work and move forward with purpose; demonstrate clear value and support of your Provider Groups and internal teams. * Exercise judgment in order to problem solve when the answer is not readily apparent. * Approach problem solving that involves systems thinking and with a clear value of people understanding how the whole process works and how people are impacted by your decisions from the Provider Group perspective and internally. * Strong communication skills understanding the need for being inclusive for effective results; communicate effectively with both day to day operational resources and executive management. * Understand sense of urgency, fast-paced and multi-tasking environment; strong organizational skills. * Solutions oriented mindset, willing to bring Provider Groups results regardless of roles or titles. * Requires daily local travel to provider offices (mileage reimbursement provided). * Willingness and ability to attend after hour business meetings as needed. * Must maintain valid drivers license and use personal vehicle for travel. * Experience with basic Microsoft Office Applications. BENEFITS: * Competitive salary & benefits (4 medical plan choices, dental, vision, etc.), PTO, discretionary bonus