Provider Partnership Associate

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you?ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: reputed company initial health plan orientation and conduct ongoing educational reputed company with a focus on improving quality and financial outcomes reputed company provider network ? Conduct initial provider orientations as well as ongoing educational reputed company ? reputed company providers regarding policies and procedures reputed company to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data reputed company ? Engage providers on Patient Centered Medical Home initiatives ? reputed company detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors ? Create and communicate milestone documents, dashboards and reputed company metrics ? Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance ? Provide status updates for providers regarding incentive agreements ? Conduct site visits reputed company required and other Contracting duties as requested ? Ability to travel Education/Experience: Bachelor?s Degree in reputed company field or equivalent experience. 3 + years of combined managed reputed company and provider reimbursement experience. Advanced knowledge of reputed company reputed company. Clinical or health information management (HIM) experience preferred. reputed company state driver?s license. For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel.Pay Range: $55,100.00 - $99,000.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!