Provider Relations Coord-CIN, Corporate, FT, Day

at  Prisma Health

JOB SUMMARY

The Provider Relations Coordinator - CIN is accountable for the overall client/member services, communications, and engagement of the provider/physician practices in the region and is the direct interface between the Clinically Integrated Network (“CIN”) and assigned provider/physician practices. This individual acts as a liaison between network leadership and the providers so that both, in unison, are meeting the goals of the organization. This individual is involved in the continuous process of development and education of providers and staff as it relates to goals, policies, and procedures defined by the network.

ACCOUNTABILITIES

• Serves as a liaison with the network’s provider partner/member organization(s) and meet with key leaders at

  partner/member organizations. 20%

• Develops and coordinates all new and continuing provider relations training and education. 15%

• Forges relationships with providers interested in participating with the network. 15%
• Manages and coordinates network provider site visits. 15%

• Develops and implements a provider relations communication plan to ensure the development of newsletters,

  informational materials, news releases, instructional materials, and website content. 15%

• Responds to and resolves questions or concerns from providers or their office staff in a timely and service-oriented

  manner .5%

• Assesses physician performance and make recommendations in collaboration with the care model committee for

  corrective action. 5%

• Assists with the administration of all provider/facility contracts to ensure network contracts meet all regulatory,

  payer, and accreditation requirements. 5%

• Communicates provider manuals (including policies and procedures) appropriate to the network. 5%

MINIMUM EDUCATION

Bachelor’s Degree - Business Administration or other relevant healthcare field.

MINIMUM EXPERIENCE

5 years - Managed care experience in either healthcare provider or health plan setting required. Experience in a physician led hospital organization or related setting preferred.

OTHER REQUIRED EXPERIENCE

Regional travel and flexibility with extended hours - Required
Excellent organizational, prioritizing and planning skills as well as reporting and tracking skills - Required
Excellent oral and written communication skills with all levels of staff and clients as well as strong customer service, communication, and negotiation skills - Required
Working knowledge of health care procedural and diagnostic billing codes (e.g., CPT, HCPCS, and ICD-9-CM) Preferred

This is a non-management job that will report to a supervisor, manager, director or executive.