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Provider Relations Specialist

Company Name:
MMS Group
Provider Relations Specialist - BEDFORD, NH
Progressive health plan is a leader in the NH market ! You will be a very important liaison in developing effective collaboration between the plan and participating FQHC/RHC providers in the MA marketplace. You will conduct orientation and training related to plan policies and procedures, conduct regular meetings with the providers documenting discussions, issues, attendees, and action items. You will provide on-going coaching for performance improvement within the physician practices. Coordinate activity and communication among providers, the health plan and corporate office including investigating and resolving complex provider claims issues. You will be a leader for internal meetings, internal projects and provider outreach initiatives.
Ideal candidate will have a minimum of a High school diploma or equivalent. 5+ years of sales, provider relations, or contracting experience. Experience working in FQHC/RHC facilities. Firm understanding of payment methodologies for clinical environment. Ability to develop and sustain relationships with Clinical Leadership and Alliances across all markets.
Licenses/Certifications: Current state drivers license.

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