MAXIMUS

  • Sr. Provider Relations Specialist

    Job Locations US-MA-Boston
    Posted Date 2 weeks ago(11/29/2018 1:07 PM)
    Requisition ID
    2018-36087
    # of Openings
    1
    Job Schedule
    Regular Full-Time
  • Responsibilities

    MAJOR PURPOSE

    The Provider Relations Sr. Speicalist is a critical position in developing and maintaining provider relationships. This position is responsible for working directly with Providers in researching and resolving provider issues both through structured outreach and training, as well as informal avenues of communication.

    ESSENTIAL JOB DUTIES

    • Attends scheduled training sessions of other payers, vendors, professional associations as requested
    • Follows-up on issues raised at any training session, including contacting Provider Associations with updated information, and updating future training protocols and materials
    • Conducts state-of-the-art training sessions and seminars in locations throughout Massachusetts, including the provider’s office when requested and appropriate
    • Develops educational messages and materials for existing Providers to promote understanding of policies and procedures as well as good business practices
    • Create educational sessions that can be made available to providers via the customer Web Portal
    • Plan, develop and implement an account management strategy for assigned MassHealth Programs;
    • Forms and utilizes interdepartmental communication workflows, protocols and relationships to coordinate all Provider support within the MassHealth Customer Service Team
    • Perform other duties as assigned

    EDUCATION REQUIREMENTS

    The ideal candidate must have
    • A Bachelor’s Degree from an accredited college or university, equivalent experience considered in lieu of degree

    REQUIRED KSAs
    • Minimum 2 years related work experience required
    • Formal public speaking experience
    • Driver’s license and access to vehicle
    • Excellent organizational, communication and interpersonal skills
    • Demonstrated leadership qualities
    • Comfortable working in a fast-paced environment
    • Understanding of common provider issues including billing practices, claim operations, enrollment and credentialing, and health care trends
    • Proficient in Microsoft Office (PowerPoint, Word, Excel and Outlook)
    • Ability to perform comfortably in a fast-paced, deadline-oriented work environment
    • Ability to work as a team member, as well as independently
    PREFERRED KSAS
    • Accounting/Financial background and/or education
    PHYSICAL REQUIREMENTS
    • Ability to perform filing and data entry
    • Ability to handle file boxes up to 30 lbs
    • Must be able to remain in a stationary position for an extended period of time

    The Ideal Candidate will Possess the Following Additional Education and Experience

    • Develop and maintain provider relationships. 
    • Attend scheduled training sessions for other payers, vendors, professional associations, as requested.
      Follow-up on issues raised at any training session, including contacting Provider Associations with updated information, and updating future training protocols and materials.
    • Conduct state-of-the-art training sessions and seminars in locations throughout Massachusetts, including the provider’s office when requested and appropriate.
    • Develop educational messages and materials for existing Providers to promote understanding of policies and procedures as well as good business practices.
    • Create educational sessions that can be made available to providers via the customer Web Portal.
      Plan, develop and implement an account management strategy for assigned contract programs.
    • Form and utilize interdepartmental communication workflows, protocols and relationships to coordinate all Provider support within the contract Customer Service Center.
    • Exerts some influence on the overall objectives and long-range goals of the organization.
    • Perform other duties as assigned.

    Education/Experience:

    • Bachelor's degree with 5+ years of experience.
    • Advanced degree or professional designation preferred.
    • Develops solutions to a variety of complex problems.
    • Work requires considerable judgment and initiative.

    EEO Statement

    EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

    Apply/Socialize

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Need help finding the right job?

    We can recommend jobs specifically for you! Click here to get started.