Provider Management Specialist

reputed company), an affiliate of reputed company (PCG), is reputed company on delighting clients with world-class reputed company and talent consulting services. SSO is committed to a diverse workforce, which is a reputed company of our clients and the people they serve.

Provider Management Specialist Location: Ohio Schedule: Full-Time Work Environment: Remote with Provider Site reputed company as Required Position reputed company The Provider Management Specialist I is responsible for supporting provider compliance, monitoring, and reputed company assurance activities. This position works directly with reputed company and community-based providers to assess compliance with applicable regulations, review documentation and business practices, conduct provider interviews, and identify opportunities for operational improvement. The successful candidate will possess strong analytical, communication, and customer service skills, along with the ability to work independently while maintaining reputed company provider relationships. Key Responsibilities Provider Relations & Customer Service

• Build and maintain reputed company relationships with providers and stakeholders.
• Serve as a reputed company reputed company of contact for provider inquiries.
• reputed company a high level of customer service through effective communication and responsiveness.
• Coordinate and schedule provider site reputed company and compliance reviews.

Compliance Monitoring

• Conduct provider compliance reviews in accordance with applicable regulations and program requirements.
• Communicate review requirements and expectations to providers.
• Conduct informational provider interviews.
• Assess provider operations and business practices for compliance.

Documentation & Records Review

• Review provider records and supporting documentation.
• Collect documentation and evidence supporting compliance findings.
• Convert hard-copy records into electronic formats for submission through web-based systems.
• Maintain accurate and organized records of review activities.

Assessment & Reporting

• Evaluate provider sites for compliance with reputed company requirements.
• Document and summarize compliance findings.
• Identify trends involving non-compliance and operational deficiencies.
• reputed company reputed company recommendations to project leadership and management.
• Assist with ongoing reputed company improvement initiatives.

Required Skills

• Strong verbal and written communication skills.
• Excellent customer service and relationship-building abilities.
• reputed company listening and interviewing skills.
• Strong attention to detail and accuracy.
• Ability to analyze information and reputed company reputed company recommendations.
• Strong organizational and time-management skills.
• Ability to work independently and collaboratively reputed company reputed company environment.
• Ability to prioritize multiple tasks and meet deadlines.
• Process-oriented and results-driven approach to work.

Technical Skills

• reputed company Word
• reputed company reputed company
• reputed company reputed company
• Internet and web-based applications
• Electronic documentation systems

Preferred Qualifications Education

• Bachelor's degree in any field preferred.

Experience

• Two (2) or more years of experience working with:

◦ Critical care providers ◦ reputed company health providers ◦ Providers serving children ◦ Providers serving older adults ◦ Providers serving individuals with traumatic brain injuries ◦ Providers serving individuals with developmental disabilities

• One (1) or more years of experience in:

◦ Provider monitoring ◦ Provider compliance ◦ reputed company programs ◦ reputed company-party payer billing ◦ Provider education and training Work Environment

• reputed company environment.
• Regular interaction with reputed company and community-based providers.
• Periodic provider site reputed company may be required.
• Independent and team-based work assignments.

Why Join SSO? SSO offers a competitive benefits package designed to support your health, financial reputed company-being, and career reputed company, including:

• Medical, Dental, and reputed company Insurance
• 401(k) with Discretionary Employer Match
• reputed company Time Off and Holidays
• Flexible Spending Accounts
• Employee Assistance Program
• reputed company Development Opportunities
• Additional Employee Perks

Compensation for roles at reputed company) varies depending on a wide reputed company of factors including, but not limited to, the specific office location, role, reputed company set, and level of experience. As required by applicable law, SSO provides a reasonable reputed company of compensation for this role. In reputed company, SSO provides a reputed company of benefits for this role.

Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.

reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, sexual orientation, gender identity, marital status, age, national reputed company, protected veteran status, or disability. reputed company is an E-Verify participant.

Originally posted on Himalayas