02 Dec

Provider Enrollment Liaison Jobs Vacancy in Steward Health Care Network Needham

Position
Provider Enrollment Liaison
Company
Steward Health Care Network
Location
Needham Maluku
Opening
02 Dec, 2018 30+ days ago

Steward Health Care Network Needham urgently required following position for Provider Enrollment Liaison. Please read this job advertisement carefully before apply. There are some qualifications, experience and skills requirement that the employers require. Does your career history fit these requirements? Ensure you understand the role you are applying for and that it is suited to your skills and qualifications.

Follow the online directions, complete all the necessary fields, and provide all relevant information so your application is submitted correctly. When you click the 'Apply this Job' button (open in new window) you will be taken to the online application form. Here you will be asked to provide personal and contact details, respond to employment-related questions, and show how you meet the key selection criteria.

Provider Enrollment Liaison Jobs Vacancy in Steward Health Care Network Needham Jobs Details:

POSITION PURPOSE:
Reporting to the Credentialing & Provider Enrollment Director, the Provider Enrollment Liaison coordinates the accurate and efficient enrollment of SHCN providers into health plan contracts.

Coordinates all operational aspects of enrolling SHCN physicians into SHCN-contracted managed care health plans working closely with other SHCN Managers, SHCN Provider Enrollment, and network representatives. Specifically, the Provider Enrollment Liaison is responsible to: Coordinate the full cycle Provider Enrollment function for SHCN, across the entire physician network.

Develop close and collaborative working relationships with provider and PO offices to streamline the accurate submission of information to the health plans and to SHCN. Work closely with SHCN, its affiliates, and the health plans to reconcile any differences in listings of enrolled SHCN physicians. Coordinates these efforts with and through the PO offices and SMG Provider Enrollment and works with SHCN Analytic Team to implement changes in provider data.

Conducts ongoing audit of the process to ensure accuracy of provider data. Ensure that SHCN has an accurate and up-to-date listing of all employed and SHCN affiliated physicians at all times and that each of the contracted health plans does as well.

Identifies opportunities for improvements in the process and develops strategies to implement appropriate changes/enhancements; Develop partnerships with relevant staff at the health plans in coordinating enrollment of SHCN providers; independently troubleshooting issues as they arise.

Maintain on-going participation in cross-training activities, ensuring appropriate staff coverage of incoming volume. Actively engage in addressing special projects as they arise, conducting preliminary research and follow-up, and tracking/monitoring to facilitate on-going reporting of project status. Provides valid feedback to the Provider Enrollment Director on departmental issues and progress. Perform other functions as assigned.

Education:

  • Associates degree in a related field (or equivalent combination of education and experience).

Years of Experience:

  • Three to five years administrative experience, preferably within a healthcare environment.

Work Related Experience:

  • Familiarity with Microsoft Office software (Word, Access, Excel, PowerPoint)
  • Previous Managed Care and/or Medicaid experience strongly preferred.

Specialized Knowledge:

  • Thorough understanding of managed care principles and physician practice operations, with an understanding of health plan provider enrollment and credentialing preferred.
  • Excellent organizational skills, proven project management expertise; Strong verbal and written communication skills.
  • Outstanding interpersonal skills, able to quickly establish a trusting rapport with individuals at all levels.
  • Requisite poise, judgment, and trustworthiness to represent SHCN to internal and external groups.
  • Maintains information in a confidential manner according to policy.

Job Type: Full-time

Experience:

  • Administrative Support: 3 years (Required)

Education:

  • Associate (Preferred)


Jobs Vacancy Related to Provider Enrollment Liaison:

14Feb

Enrollment Specialist Jobs Vacancy in Specialists Call Remote. Specialists Call Remote opening great career opportunity and jobs vacancy for Enrollment Specialist position. This jobs vacancy will be open for new jobs applicant starting for 14 Feb, 2019. Enrollment representatives works with internal teams, providers, Medicare and Medicaid to assist in completing the enrollment process for medical providers.... ... Continue reading -->


25Jan

Tribal Liaison Jobs Vacancy in Molina Healthcare Bothell. Molina Healthcare Bothell opening great career opportunity and jobs vacancy for Tribal Liaison position. This jobs vacancy will be open for new jobs applicant starting for 25 Jan, 2019. Establishes and maintains relationships with assigned providers in tribal communities including Provider outreached (Indian Health Services and 638 Clinics).... ... Continue reading -->


11Feb

Provider Enrollment Liaison Coordinator Jobs Vacancy in Steward Health Care Network Needham. Steward Health Care Network Needham opening great career opportunity and jobs vacancy for Provider Enrollment Liaison Coordinator position. This jobs vacancy will be open for new jobs applicant starting for 11 Feb, 2019. Reporting to the Credentialing & Provider Enrollment Director, the Provider Enrollment Liaison coordinates the accurate and efficient enrollment of SHCN... ... Continue reading -->


31Jan

Payer Enrollment Specialist Credentialing Jobs Vacancy in Encompass Healthcare Data Solutions Fort Collins. Encompass Healthcare Data Solutions Fort Collins opening great career opportunity and jobs vacancy for Payer Enrollment Specialist Credentialing position. This jobs vacancy will be open for new jobs applicant starting for 31 Jan, 2019. Coordinates payer enrollment for medical providers. Serves as a liaison between provider and their privileged clinical sites.... ... Continue reading -->


12Dec

Library Specialist Jobs Vacancy in Northern Kentucky University Highland Heights. Northern Kentucky University Highland Heights opening great career opportunity and jobs vacancy for Library Specialist position. This jobs vacancy will be open for new jobs applicant starting for 12 Dec, 2018. 3.Manages enrollment and archived course records and documentation required by Continuing Education partners (who offer professional certifications based upon... ... Continue reading -->