UNM Medical Group, Inc is hiring a Provider Relations Specialist to join our Office of Managed Care and Clinical Contract Services Team. This busy and passionate team is looking for a highly motivated individual. The perfect candidate should have great customer service skills, be able to consistently and timely follow up on issues and have exceptional organizational skills. This individual will help maintain relationships with Managed Care Payers and resolve issues for multiple areas of the health system. This is full-time opportunity with hours being Monday thru Friday 8am to 5pm located in Albuqerque, New Mexico.
*This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico*
The Provider Relations Specialist will be responsible for or maintaining positive relationships with operational departments, Managed Care Organizations and other entities, handling escalated issue management and dispute resolution activities; and serving as a primary liaison to provide communication, education, issue resolution and support to UNM Health System.
Minimum $56,618 - Midpoint $70,782*
*Salary is determined based on years of total relevant experience.
*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.
Summary
Reporting to the Managed Care Director, the incumbent will be responsible for facilitating third party payer relations; tracking and resolving operational, administrative, financial and clinical issues related to managed care contracts affecting UNM Hospitals, UNM Medical Group, UNM Cancer Center; oversight of operational meetings with UNM and third party payers; processing of various managed care contracts.
Minimum Job Requirements of a Provider Relations Specialist:
High school diploma or GED with 2 years directly related experience. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure (if applicable) will be required if selected for hire.
Duties and Responsibilities of a Provider Relations Specialist:
About Managed Care and Clinical Contracting Services:
The Office of Managed Care and Clinical Contract Services Team consist of multiple teams that service the entire UNM Health System with contracting, value based care, and credentialing/provider enrollment.
The successful incumbent must have the ability to work independently with minimal supervision and coordinate multiple duties at a time in a fast-paced working environment with changing priorities.
This role requires someone who demonstrates a high degree of professionalism and the ability to communicate efficiently.
About UNM Medical Group, Inc:
UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.
Diversity, Equity and Inclusion Commitment:
We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.
Benefits:
UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, generous paid time off plan and 403b retirement for benefits eligible employees.
Apply to our Provider Relations Specialist opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly!