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Provider Relations Representative

 

Centivo is a new type of health plan administrator that allows self-funded employers and clinicians to join forces and deliver high quality, affordable healthcare to their employees. An alternative to traditional insurance carriers or third-party administrators, Centivo offers the technology, network, claims processing, customer support, and population health management to fully administer health benefits for all or a portion of an employee population.

 

The Centivo model emphasizes the partnership between individuals and their primary care team as the proper model to coordinate healthcare needs. Centivo’s clinical partners are dedicated to controlling costs and helping members navigate the healthcare system, aided by personalized patient/doctor matching tools. Members are rewarded for working with their primary care team and choosing high-value care, and are supported through a user-friendly app and their concierge. Employers get an ally that diligently roots out waste and is accountable to performance.

 

At Centivo, we never lose sight of the fact that we are dealing with healthcare, with emotions, with anxiety, with fear, and with lives. We treat your employees and their families with the same level of care that we would use to treat our own families.

Summary of the role:

The purpose of this role is to provide provider data administration, provider onboarding coordination, and project management support across multiple workstreams to enable Centivo to launch and maintain excellent quality proprietary provider and hospital networks.

Workstreams include: interfacing with health systems and practice offices, working with product managers and network contractors, and coordinating our credentialing partners.

Your responsibilities will include:

  • Work with provider partners to ensure high quality and current provider data
  • Project manage complex initiatives around contracting, data collection and validation, and provider credentialing
  • Coordinate outreach and ensure providers have smooth onboarding experiences as they join the Centivo network
  • Assist internally as the ‘owner’ and subject matter expert on provider data, including working with our sales team as relevant to potential clients

Qualifications:

  • Proven organization skills with attention to detail and follow-up
  • Effective communication skills
  • Ability to work independently and on a team
  • Ability to prioritize and handle multiple tasks
  • Comfort with ambiguity and working without well-established policies and practices
  • Command of MS Office product suite, especially Excel

Education and experience:

  • Bachelor’s Degree
  • Interest in healthcare and/or technology

Preferred qualifications:

  • 2-3 years experience in the healthcare industry
  • Experience working with and interacting with healthcare providers
  • Familiarity with project management principles and/or software

Physical requirements:

This role requires the ability to work and use office equipment (computer, phone, printer, scanner, web camera etc), systems & software (word processing, spreadsheets, project management, email, video conferencing, social collaboration and communication etc) for at least 75% of the time.

 

* As of September 2020, our company is currently working in a mostly remote environment as our offices work to reopen in accordance with local government guidelines and best practices.  All employees have the flexibility to work remotely to accommodate their needs.

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