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Health Partners Plans
Philadelphia, PA, United States
Why Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges,
Job Source: Health Partners PlansFirst Commonwealth Bank
Devon, PA, United States
Handles incoming service calls from clients, or potential clients, having questions regarding their current account relationships or seeking information about additional products and services. Completes client follow up resulting from inbound calls such as account maintenance, records research, and follow up on information requests. Makes outbound
Job Source: First Commonwealth BankVitable Health
Philadelphia, PA, United States
[Full Time] Member Engagement Specialist at Vitable Health (United States) | BEAMSTART Jobs Member Engagement Specialist Vitable Health United States Date Posted 31 Oct, 2022 Work Location Philadelphia, PA, United States Salary Offered Not Specified Job Type Full Time Experience Required No experience required Remote Work Yes Stock Options No
Job Source: Vitable HealthHEALTH FEDERATION OF PHILADELPHIA
Philadelphia, PA, United States
Job Details Level Entry Job Location Float - Philadelphia, PA Position Type Temporary/Full Time Education Level High School Job Shift Day Description Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote health equity for marginalized communities by advancing access to high-quality, integrated, and co
Job Source: HEALTH FEDERATION OF PHILADELPHIAThe Behavioral Wellness Center at Girard
Philadelphia, PA, United States
Job Description Job Description $1000.00 Sign on Bonus We are seeking a Full-time Outreach & Engagement Specialist to Join Our Team! The Behavioral Wellness Center At Girard, located in the heart of North Central Philadelphia, is a long-standing behavioral health facility that serves a diverse, under-served patient population. We offer a
Job Source: The Behavioral Wellness Center at GirardImagine Learning, Inc.
Philadelphia, PA, United States
Partner Engagement Specialist (Philadelphia, PA) Customer ExperienceRemote , Philadelphia,PA At Imagine Learning we ignite learning breakthroughs. It drives everything we do. W e innovate together to support educators in creating those special moments when students experience the joy of learning at its best. We also ignite career
Job Source: Imagine Learning, Inc.Public Health Management Corporation
Philadelphia, PA, United States
PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID-19 before the first day of employment. We will offer the vaccination at no cost via our Health Centers. JOB OVERVIEW: The Family Engagement Specialist is essential to the Early Learning Resource Center (ELRC) Family Services team in deliverin
Job Source: Public Health Management CorporationWider Circle
Philadelphia
Wider Circle is looking for a Community Health Engagement Associate in Philadelphia, PA to join our circle and play a vital role in running Connect for Life, our groundbreaking program that connects neighbors for better health, empowering them to live longer, healthier lives while finding joy in one another’s company. The successful candidate will
Job Source: Wider CirclePhiladelphia, PA, United States
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.
While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.
Perks of JHP and why you will love it here:
Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
Flextime and Work-at-Home Options
Benefits & Wellness Program including generous Time Off
Impact on the communities we service
We are seeking a talented and enthusiastic Provider Engagement Specialist to join our team!
Summary/Objective:
Under general supervision of a Provider Outreach and Education Manager, the Provider Engagement Specialist will provide support, education and guidance to an assigned territory of network providers in addition to supporting general education initiatives to the network.
As the Provider Engagement Specialist, your daily duties may include:
Able to work in a constant state of alertness and safe manner
Serve as a primary point of contact with both internal and external contacts to facilitate smooth flow of information in order to manage assigned territory with minimal disruption to the provider.
Provide orientations to all new contracted groups within assigned territory.
Provide field, telephonic and electronic support to assigned providers.
Build relationships with providers and their staff in a way that promotes mutual respect and trust.
Conduct routine face to face meetings with assigned territory of network providers, addressing programs, initiatives, policy changes and issue resolution. Use these meetings to develop strong relationships that build on mutual respect and trust.
Assist in the development, implementation and facilitation of provider education initiatives via webinar and face-to-face seminars in the community.
Provide feedback to management, from provider interactions, on educational needs.
Assist in the development of educational materials.
Respond to provider and internal inquiries within 24 hours and document actions taken and maintain statistics of calls for reporting purposes.
Stay current on all company policies, procedures and processes.
Collaborate with management on all provider facing community activities.
Responsible for participating in assigned provider outreach projects.
Working with credentialing and provider data teams conduct reviews of provider related data (Directory proofing) to ensure data standards and integrity are kept to a high level.
Consistently communicate potential data changes to the credentialing and provider data teams as you become aware of information during the course of your regular interactions with your assigned territory.
Collaborate with management on activities to aid in growing provider’s membership in emerging HPP territories.
Develop and maintain positive relationships with team members to ensure a collaborative environment that allows for efficiency and success.
All other duties as assigned
Qualifications
Associate’s degree or equivalent healthcare business experience in a provider relations/education environment
5 - 7 years managed care experience
Skills, We Value:
Good working knowledge of Microsoft Office Suite
Comfortable presenting in front of an audience of peers and superiors
Exceptional presentation skills
Effective in a variety of formal presentation settings
Self-motivator with the ability to work independently and as part of a team
Ability to meet deadlines and ensure compliance with all company and regulatory requirements
Ability to prioritize workload and use time effectively and efficiently
Effective verbal and written communication skills
Multi-tasking capabilities with high level of organization
Responds and relates well with employees of all levels
Uses careful logic and methods to solve difficult problems
Be a team player, cooperative and encourage collaboration
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Email Alert for Provider Engagement Specialist jobs in Philadelphia, PA, United States
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