Provider Engagement Associate
New
We are currently considering candidates located in the Central and Eastern time zones of the United States for this position., Central and Eastern time zonesFull-TimeMiddle
Salary$63,800 — $83,000 USD
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Job Details
- Experience
- 3+ years
- Required Skills
- SalesforceJiraMicrosoft Excel
Requirements
- 3+ years of experience in health insurance or medical offices.
- Proficiency in Excel, including Pivot Tables, Formatting, Formulas, and Vlookups.
- Experience with tools like Salesforce, JIRA, Mode, and Google Suite.
- Familiarity with industry platforms like Engagement Plus, SDS, iNetwork, Optum Pay Financial, and Health Rules Payor.
- Strong interpersonal skills and ability to manage professional relationships.
- Detail-oriented with strong problem-solving and multitasking capabilities.
Responsibilities
- Gain in-depth knowledge of Clover Health's operational processes, including Contracts, Claims Processing, Payments, Payment Integrity Audits, Configuration, and Grievances.
- Serve as the main contact for high-priority providers and maintain positive on-going relationships, leading external meetings regularly.
- Manage internal projects to enhance the provider experience, such as provider education on best practices and new policies.
- Ensure timely investigation and resolution of escalated provider issues or inquiries, both internally and externally.
- Work with internal and external teams to research and resolve provider escalations.
- Identify and implement opportunities to reduce provider abrasion through root cause analysis and collaboration with management.
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