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WellStar Health Systems Provider Relations Consultant in Marietta, Georgia

Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar,our mission is simple, yet powerful:to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

Build and maintain strong relationships with assigned WMG, ACO, IPA & WCP physicians and office staff. Facilitate and conduct site visits with assigned practices. Provide education and support to physicians and staff regarding Managed Care contracts. Resolve all operational issues in a timely manner. Coordinate educational sessions between Managed Care plans and the offices. Work closely with Contract Managers to ensure physician office concerns with Managed Care contracts are escalated. Work closely with all Managed Care staff on a daily basis.

Qualifications

Required Minimum Education : Bachelor’s Degree Preferred. In lieu of degree, four to six additional years of relevant experience

Required Minimum Experience :A minimum of four years of experience in a managed care environment or other health care environment requiring communications with physicians regardingclaims and reimbursement ratesis required.

Required Minimum Skills : Self –directed, ability to work autonomously and prioritize multiple assignments in a fast paced environment without direct supervision. Very strong organizational skills.Must have a clearunderstanding of functional elements of a high quality managed care program, i.e., utilization management, credentialing, quality improvement, member services, contracting, health care finance and claims.Must be computer literate in word processing, database and spreadsheet programs. Strong communication skills in order to maintain a professional relationship with providers. Should be computer conversant, literate in database and have the ability to analyze data and confirm output integrity. Must be able to work in a team oriented environment and have excellent organizational, writing and oral communication skills. Knowledge of managed care contracting. Familiarity with CPT coding and medical terminology.

Connect With Us! (https://careers-wellstar.icims.com/jobs/60058/provider-relations-consultant/job?mode=apply&apply=yes&in_iframe=1&hashed=-336057786)

Join us for outstanding benefits and development opportunities. We also offer state-of-the-art technology, professional support and advancement, and colleagues that rank amongst the best in the country. The WellStar culture of caring has also been nationally recognized three years in a row by Fortune Magazine as one of the “100 Best Companies to Work For”. Step up to your potential. Find out more and apply today.

WellStar is an equal opportunity/affirmative action employer. All applicants are considered without regard to race, color, religion, sex, age, national origin, disability, veteran status or any status which is protected by local, state or federal law.

Job ID 2021-60058

Position Type Full-Time

Department Managed Care

Facility WellStar Shared Services

Category Professional

City Marietta

Shift Days

State Georgia

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