Mgr II Provider Rel in Atlanta, GA at Beacon Health Options

Date Posted: 8/1/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Manager, Provider Relations to join our team at our office in Atlanta, GA.  The Provider Relations Trainer is responsible for provider training and servicing activities for their assigned territory based out of an engagement center, with oversight by a Manager, Provider Relations. This position works in collaboration with Beacon Health Options departments, the client and the Georgia Collaborative member agencies to coordinate and participate in the required provider, member and stakeholder training sessions as required by our contract. Incumbent is responsible for training providers in the use of various provider systems, policies and procedures, system setup and the development of policies and procedures related to system setup. Training activities will also include developing and maintaining accurate and current technical documentation in support of all training courses provided by the Provider Relations Department. Support ongoing Provider Relations project management activities when requested. Develop training materials for provider related training and/or Beacon Health Options’ staff to include Quality departmental staff to use in providing training to providers on technical capabilities required to interface with the Beacon Health Options management information system and clinical. Provider relationship management with providers will be conducted telephonically, in their offices as necessary, and through attendance at professional gatherings.

Under the direction of the Manager, Provider Relations, the incumbent provides support in the areas of facilitating resolution of provider issues or concerns, monitoring the provider network, and ensuring compliance with the terms of the customer contract.

 

Position Responsibilities:

•         Participates in provider related initiatives, including attendance at trade shows, forums and symposia.

•         Supports the provider relations department by managing provider relationships through practitioner and facility orientation and training, attendance at meetings, providing review and feedback of provider performance under contract terms, participation in resolution of issues and/or complaints as necessary.

•         Works collaboratively with National Network Services, Network Operations and customer operations staff to share information and ensure accurate and timely response to provider.

•         Contributes to provider newsletters, the provider handbook, and identification of provider mailings, training, and other provider needs based on provider training evaluation results and/or general feedback.

•         Develops, delivers and maintains a comprehensive Training Program, for providers. Maintains a master calendar and schedule of provider meetings/trainings to ensure education and outreach requirements are satisfied in accordance with Provider Relations Communication Plan. Monitors and reports to management the effectiveness of training on providers.

•         Assists in responding to audit requests in coordination with other internal departments.

•         Assist in the development of training materials for system enhancements and problem resolutions, and assist in testing of system changes for validity and functionality.

•         Responsible for writing and designing course materials to produce products that are consistent with sound instructional design principles as well as to interest, motivate, and retain staff members. Development of training materials may include research and collaboration with subject matter experts. The types of materials to be prepared include presentations, courses, tests, handouts, facilitator notes and documentation compliant with current Beacon Health Options policies and procedures.

•         Delivers classroom training utilizing effective facilitation methods to enable the delivery of curriculum and to create a training environment conducive to learning. Exceptional ability to train providers/staff at different learning levels, and apply appropriate methods for successful instruction.

•         Performs provider outreach to manage ongoing relationship, and is a critical interface link with national network services and network operation staff in the seamless delivery of services to providers including: provider feedback to providers regarding their performance under the terms of contract and/or customer requirements; identifying and addressing quality of care and service issues, in conjunction with other Beacon Health Options departments; responding to provider complaints and questions as they arise; formulating provider report requests and participating in any local and/or national committees/meetings.

•         Attends and participates in all mandatory meetings, which may include, but not limited to identifying training needs, gather relevant information verify and training material requirements are met in order to establish successful training outcomes.

•         10% travel

Position Requirements:

Education: Bachelor’s degree in Business Administration, Science, Communications, or in a human services related area or combination Associates degree and experience considered in lieu of Bachelor’s degree is required.           

Licenses: Instructional designer, trainer or managed care certification is preferred.

Years and Type of Relevant Work Experience:   At least three years of training, communications, or marketing experience required. A minimum of two years in provider relations and/or a combination of managed care, behavioral healthcare, practice management and claims experience required.

Knowledge, Skills & Abilities:

•         Proficient in Microsoft suite (Excel, Powerpoint, Word)

•         Excellent written and verbal communication skills

•         Excellent analytical skills and reporting skills

ValueOptions Federal Services, Inc, a Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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