MAXIMUS

Senior Provider Relations Specialist

Job Locations US-MA-North Quincy
Requisition ID 2022-79410
Posted Date
2 months ago(8/5/2022 10:25 AM)
# of Openings
1
Job Function
Program Management
Job Schedule
Regular Full-Time

Job Introduction

#ProviderRelations #KSA #SeniorLevel #Specialist #Training #CustomerRelations #Liason #CustomerService

Job Description Summary

Major Purpose

The Provider Relations Sr. Specialist 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. Four to six years of equivalent experience considered in lieu of degree.

Education preferred

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

Job Summary

Essential Duties and Responsibilities:
- Develop and maintain provider relationships.
- 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.
- Attend scheduled training sessions of 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 various locations, 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 Team.
- Perform other duties as assigned.

Minimum Requirements:
- Bachelor's degree with 5+ years of experience.
 

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

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.

Pay Transparency

Maximus compensation is based on various factors including but not limited to a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

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