JOB SUMMARY:Under the direction of the Manager, Contracts and PR East:|
Represents MVP Health Care in a professional and ethical manner while enhancing the corporate image and mission to new and existing provider customers. Services, maintains, and recruits providers for MVP. Provides training to physician and facility office staff and coordinates resolution of issues. Maintains effective relationships between MVP, business partners and network providers. Develops provider office contact roster and initiates provider contacts. Conducts site visits as required for credentialing. Meets with providers, facilities, and/or their staff to market, orient and educate regarding MVP policy, protocols and initiatives. Knows, interprets, and follows guidelines of MVP policies and rules. Maintains and communicates in-depth and up-to-date knowledge of regional competition. Functions as a contact to providers with unresolved issues and follows through to resolution, while maintaining detailed documentation. Manages and presents both small and large group presentations independently, including preparing the logistics, agendas, written presentations, content, and evaluations. Actively participates in annual Provider Seminars, including preparing the logistics, agendas, verbal presentations, content and evaluations. Performs other duties as assigned.
Minimum Education: BA/BS in Health, Marketing or Business Administration preferred or equivalent combination of education/experience considered.
Minimum Experience: 2-3 years experience in health care field with demonstrated provider recruitment and/or successful track record in health insurance customer service.
" Excellent written and verbal communication skills.
" Able to articulate knowledge of local/national health care industry trends.
" Strong analytical, problem solving, and strategic business planning skills.
" Able to work independently, detail oriented, handle multiple tasks with excellent organizational skills and workplace flexibility.
" Strong computer skills (Word, PowerPoint, Excel) required.
" Demonstrated presentation skills required.
" Neat, well-groomed, professional appearance with positive, enthusiastic attitude.
" Must have reliable transportation, willing to travel extensively throughout MVP s service areas, with overnights as required.
" Facets, Macess and Cactus.
" Comprehensive knowledge of health care fee schedules, claims payment systems and UM operations.
MVP Health Plan covers about 650,000 most valuable people. Also known as MVP Health Care, the company provides health insurance and employee...