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Provider Relations Manager I

Company: Beacon Health Options
Location: Little Rock
Posted on: February 14, 2020

Job Description:

Beacon Health OptionsJob Category: Provider & Network - Relationship MgtReq #: PROVI02261Schedule: Full TimeLocation: AR - Little RockWe Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Provider Relations Manager I a highly organized and compassionate professional to join our team at our Little Rock, AR offices. The Provider Relations Manager is responsible for cultivating, maintaining and strengthening provider relationships for a growing and complex behavioral health care organization. In this highly visible field position, the provider relations manager acts as the primary liaison between Beacon and its providers including facilities, groups, FQHCs and individual practitioners. Key responsibilities include establishing positive working relationships with providers, resolving provider inquiries and navigating the nuances of each market, including regulatory requirements for each state. Provider Relations Manager works directly with providers, clients and internal departments including network development, network operations, account management, member services, clinical operations and claims administration. Represents Beacon in various venues including provider events.

What does a typical day look like?

  • Act as the primary liaison between the provider community and Beacon ensuring all provider needs and concerns are addressed and answered.
  • Conduct regular outreach and onsite operations visits to provider sites. Visits may include presentations, staff educations, provider orientations, and appreciation events.
  • Take ownership of the provider's experience with Beacon and facilitate problem resolution as appropriate and necessary.
  • Work with provider data and credentialing team members to support provider enrollment, provider data integrity and re-credentialing efforts.
  • Work collaboratively with Network Development and Contracting staff to ensure an adequate and appropriate provider network. Participate in contracting strategy discussions around potential recruitment opportunities.
  • Coordinate with regional provider operations, operations pod and clinical teams to support regional objectives and client needs.
  • Facilitate and lead orientation meetings and communication sessions with key providers on Beacon's policiesrelated to:
  • Claims and service recovery
  • Program benefits
  • Clinical initiatives
  • Referral and authorization
  • Regulatory compliance
  • Billing and payments
  • Complaints and appeals
  • Plan and facilitate trainings using various technology solutions, including new applications and procedures.
  • Lead classroom-style training sessions remotely, in-person and via WebEx/video conference.
  • Act as the official department representative for assigned cross-functional workgroups.
  • Lead provider projects as assigned by manager.
  • Build provider support protocols and workflows and continuously look for opportunities for process improvement.
  • Develops and execute strategies to increase electronic transaction rates across networks.
  • Manage and coordinate the production of various reports and requests.
  • Participate in the development of departmental policies, procedures and processes.
    What you Contribute?

    Education: Bachelor's degree preferred. Experience may be considered in lieu of degree.

    Licensure: N/A

    Knowledge, Skills & Abilities:
    • Minimum of 5 years field sales experience or provider relations experience, with a proven track record of establishing, building, and managing accounts/providers preferred.
    • Knowledge of the managed care/ health care industry, Medicaid and Medicare preferred.
    • Travel required: 5% - 20% varies by region
      What Makes Us Different?
      • Here, it's not just a job - it's an opportunity to change lives.
      • Our employees are learners, innovators and original thinkers.
      • Our mission and values guide the way we treat our members, providers and each other.
        What We Have to Offer:
        • Healthcare benefits available starting day 1!
        • Health & wellbeing incentives, such as gym membership reimbursement
        • 401K with company match to help reach your future financial goals
        • Generous PTO, because we know life happens outside of work
        • Tuition reimbursement so you can keep reaching your fullest potential
          If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

          Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

          At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

          #LI-7CF1

          #GD

          $NFD

          #CB

          PM16 PI117951388

Keywords: Beacon Health Options, Little Rock , Provider Relations Manager I, Executive , Little Rock, Arkansas

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