Provider Relations Rep

Job Title:Provider Relations Rep

Location:RWJ - 379 Campus Dr,

Somerset

Department Name:Accountable Care Organization

Req #:0000205856

Status:Salaried

Shift:Day

Pay Range: $56,797.00 - $80,225.00, Annual

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience,

Job Overview

The Provider Relations Rep will be responsible for developing and maintaining relationships with physician and business leadership of key physician groups. The Provider Relations Rep will oversee and monitor all provider activities which includes ensuring network accessibility thresholds are met assist and troubleshooting with the EHR connectivity securing contracts amendments and single case agreements as needed managing the provider termination process and other related duties which impact the overall network.

Qualifications:

Required:

• Associate Degree or higher required
• Must possess strong interpersonal communication management and technology skills
• Must demonstrate team building and collaborative practice behaviors
• Demonstrate ability to multitask prioritize and use good judgement in a fast paced environment
• Must have strong organizational skills
• Strong presentation and problem solving skills familiar with root cause analysis

Preferred

• 1 to 3 years of healthcare experience preferred
• Physician office operations experience

Essential Functions

• Assist with establishing connectivity with the Partner s EHR and RWJBH System s EHR partnering with IT&S Department
• Assist with partner physicians connectivity issue, provide education and repeated training as needed on the EHR connectivity solution
• Review the practices usage of the platform and work with the practice to improve the network integrity through the optimal usage of the platform
• Communicates with external constituents and effectively engages the provider community demonstrating the organization s value proposition
• Manage a database of potential providers for recruitment gather necessary data and relevant information to present to management for effective contract negotiations maintain an effective tracking system of all outreach attempts communications and final outcomes
• Manages roster changes for practices participating in value based contracts and communicates roster changes to all payers
• Manages communications to payers for value based practice attribution
• Initiates the execution of value-based contracts and maintains contracting database
• Resolves first line policy questions referred by practice staff and works with partner managers as needed to resolve escalated issues
• Works collaboratively with partner departments information technology and facility based programs to provide seamless customer service to providers be open to be EPIC trained as needed for the system
• Participates as a representative of Network Management Administration team on internal committees and workgroups as assigned
• Contributes to the Network Management Administration team effort by accomplishing related tasks and projects as needed
• Maintains RWJBH Medical Neighborhood operationally and audit physician s demographic information who are participating in Medical Neighborhood to ensure data accuracy
• Assists with any other projects for the network management department as required

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job Duties responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short- & Long-Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer