Provider Relations Representative
Sanford Health - Sioux Falls, SD

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Under the general supervision of the Provider Relations Director, the Provider Relations Representative acts as the primary liaison between the Health Plan and its network providers, including physicians, hospital, and ancillary services. S/he is responsible for daily communication with providers with respect to questions, concerns, and complaints and therefore must have a broad understanding of the substantive and procedural aspects of the Health Plan. The Provider Relations representative also is responsible for recruiting and signing up providers to the network.

a) Communication skills; b) Knowledge of Managed Care - utilization management and provider reimbursement; c) Sales skills

Required Skills

A bachelor’s degree is required. Marketing/Sales training is helpful.

Required Experience

About this company
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Sanford Health-MeritCare was created from the 2009 merger of two Dakota health care legends: South Dakota's Sanford Health and North...