Provider Relations Representative jobs in Delaware

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Medicaid Provider Relations Call Center Supervisor
  • The ACI Group, Inc.
  • Newark, DE FULL_TIME
  • Medicaid Provider Relations Call Center Supervisor, Newark, DE


    • Full-time
    • 100% On-Site for initial 3 months, then 2-3 days/weeks after that.
    • Due to our client requirements, we can only consider US Citizens or Green Card Holders for this position
    • NO THIRD PARTY RECRUITERS PLEASE! CANDIDATES MUST BE SELF-REPRESENTED.
    • Salary Range: $55,500 - $79,300


    Description


    Our client is seeking a Medicaid Provider Relations Call Center Supervisor (On-site) to support a Medicaid program.


    Responsibilities


    • Supervises functional areas or department account leads on smaller sized or segments of larger accounts to ensure that business solution objectives are met.
    • Develop demand forecasts with account teams to assist functional areas or departments in planning and delivering end-to-end services.
    • Works with functional areas or departments to interpret and plan projects or workload forecasts. Identifies and oversees the resolution of account-specific service problems including prioritizing work requests.
    • Monitors and approves expenditures for accounts in line with the established policies and procedures. Oversees spending for adherence to budget, and recommends variances as needed.
    • Works closely with the management team, lines of service, and clients to help manage complex relationships between delivery and consumer groups to ensure good client relations.


    Requirements


    • Bachelors Degree is required.
    • Minimum of 4 years of experience managing provider relations functions for a Medicaid Program, other government healthcare program, or healthcare-related organization.
    • Experience or training in member eligibility management and significant experience in a call center operation are required.
    • Good project management skills.
    • Good analytical and problem-solving skills.
    • Good interpersonal skills to interact with customers and team members.
    • Good communication skills.


    Please Note:


    • Only those individuals selected for an interview will be contacted.
    • No calls, inquiries, or Third-Party Vendors please.
    • We are an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences. (The ACI Group is unable to sponsor H1B Visas).
    • $1000 Referral Bonus - www.aci.com.


    Since 1988, The ACI Group, a Baltimore-based staffing firm, has been committed to hiring the industry's leading professionals, and presenting exciting career opportunities. We have access to varied types of contract, permanent and contract-to-perm positions and offer a choice of employment options including a full benefits package.

  • 4 Days Ago

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Corporate Relations Representative
  • Sunday Breakfast Mission
  • Wilmington, DE FULL_TIME
  • MinistryHub is honored to partner with Sunday Breakfast Mission in their search for a Corporate Relations Representative. Please direct all applications through MinistryHub and any inquiries to hello@...
  • Just Posted

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Provider Enrollment Representative
  • Gainwell Technologies
  • Newark, DE FULL_TIME
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have ...
  • 3 Days Ago

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Customer Relations Representative - HIRING ALL SHIFTS!!!!
  • Air Temp Solutions
  • Castle, DE FULL_TIME
  • Would you like a career where you are an important part of a team that truly helps customers? Do you enjoy problem solving and communicating with people? If so, then we have the position for you! If y...
  • 19 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • David Soleye - State Farm Agent
  • Wilmington, DE FULL_TIME
  • Position Overview State Farm Insurance Agent located in Wilmington, DE is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for David Soleye - State Far...
  • 6 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • State Farm Agent
  • Milton, DE FULL_TIME
  • Benefits401(k)Free uniformsTraining & developmentPosition OverviewAre you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a Sta...
  • 7 Days Ago

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Provider Relations Representative
  • American Health Plans
  • Boise, ID
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/12/2024 12:00:00 AM

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Provider Relations Representative - Towson, MD (Hybrid)
  • Sheppard Pratt
  • Towson, MD
  • Since our founding in 1853, Sheppard Pratt has been transforming care and leading the way, creating a mental health cont...
  • 6/12/2024 12:00:00 AM

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Provider Relations Representative - Baton Rouge, LA
  • HMS
  • Baton Rouge, LA
  • Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances...
  • 6/12/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Partners
  • Sparta, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/11/2024 12:00:00 AM

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Provider Relations Representative
  • American Health Plans
  • Milledgeville, GA
  • American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Instituti...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative - Oxnard, CA
  • UnitedHealth Group
  • Oxnard, CA
  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. ...
  • 6/10/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 6/10/2024 12:00:00 AM

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Provider Relations Representative
  • Volunteers of America National Services
  • Volunteers of America National Services- PACE is seeking a Provider Relations Representative to service our Colorado Ser...
  • 6/8/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$54,613 to $69,873