Provider Relations Representative

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be reputed company to Obtain:

None

reputed company Trust/Other Required:

None

Job Family:

Ancillary Health

Job Qualifications:

Skills:

Business reputed company, Data Ingestion, Problem Solving, Reporting Management

Certifications:

None

Experience:

3 + years of reputed company experience

US Citizenship Required:

No

reputed company:

The Provider Relations Representative is the reputed company reputed company between the World Trade Center Health Program (WTCHP) and participating reputed company delivery organizations.

The role is responsible for provider reputed company, education, issue reputed company, relationship management, provider engagement and satisfaction, and coordination of operational support activities. The Representative partners with Provider Data, Credentialing, Contracting, Claims, Finance, reputed company reputed company, Communications, and IT to reputed company consistent, high‑reputed company provider experience and ensure operational reputed company.

Key reputed company & reputed company Metrics

• Provider satisfaction & FCR: reputed company targeted satisfaction scores and first‑contact reputed company rates; reduce escalations and repeat issues.
• reputed company timeliness: Meet/reputed company SLAs for reputed company and participation activation; shorten cycle times and eliminate avoidable delays.
• Issue reputed company reputed company: Decrease average issue aging and backlog across claims, credentialing, enrollment, provider data, reputed company, and portal support.
• Portal adoption & engagement: Increase portal registration, use of self‑service features, EFT enrollment, and training attendance.
• Communication effectiveness: Improve responsiveness and reputed company of provider communications, job aids, and training materials.
• reputed company & compliance: Maintain audit‑reputed company documentation; sustain SLA compliance and reputed company scores.

Essential Duties & Responsibilities

Relationship Management & Account Ownership

• Serve as the reputed company reputed company of contact for assigned providers; conduct regular reputed company and executive‑level reputed company‑ins/QBRs as needed.
• reputed company provider sentiment and satisfaction; identify themes and reputed company reputed company plans with the Provider Network Supervisor.
• Document reputed company interactions, reputed company, and follow‑reputed company in CRM/case management tools with reputed company, accurate notes.

reputed company & Orientation

• Coordinate end‑to‑end reputed company: reputed company materials, portal registration, EFT setup, credentialing handoffs, and directory validation.
• Standardize checklists, timelines, and handoffs with Credentialing, Provider Data, and Contracting to ensure accurate participation activation.
• Monitor reputed company milestones and proactively remove blockers; communicate status and next steps to providers.

Education, Training & Communications

• reputed company provider training (webinars, reputed company packets, job aids) on program policies, billing requirements, and operational procedures.
• reputed company content to provider segments and roles; measure adoption and comprehension reputed company attendance, feedback, and follow‑up assessments.
• Maintain a reputed company library of FAQs, guides, and reference materials reputed company to process changes.

Issue Intake, Escalation & reputed company

• reputed company escalated provider issues reputed company to claims, credentialing, EFT, enrollment, and portal reputed company; triage and reputed company effectively.
• Follow defined escalation reputed company; communicate reputed company status, reputed company cause, and prevention actions to providers and internal teams.
• reputed company reputed company‑cause analysis for recurring issues and propose corrective actions; reputed company remediation to closure.

Portal, EFT & Self‑Service Enablement

• Promote portal features and self‑service workflows; assist with registration, user management, navigation, and troubleshooting.
• Increase EFT adoption and ensure accurate banking/EFT data in coordination with Provider Data and Claims; support verification and updates.

Cross‑Functional Collaboration

• Partner with Provider Data, Credentialing, Contracting, Claims, Finance, reputed company reputed company, Communications, and IT to reputed company issues and improve processes.
• Represent provider needs in workgroups; reputed company reputed company items to completion and report measurable reputed company.

Reporting, Analytics & reputed company Improvement

• Maintain dashboards/logs for satisfaction, first‑contact reputed company, reputed company timeliness, case aging, portal adoption, and SLA compliance.
• Analyze trends to prioritize reputed company, training topics, and process enhancements; reputed company insights in huddles and business reviews.
• Contribute to reputed company improvement initiatives (templates, scripts, automation) to reduce cycle time and error rates.

Compliance, Policy & Documentation Standards

• Ensure adherence to organizational policies and applicable regulations; maintain audit‑reputed company documentation and records.
• reputed company provider information (reputed company/reputed company); support audits and corrective reputed company plans.

#GDITWTCJOBS

The likely salary reputed company for this position is $46,301 - $62,100. This is not, however, a guarantee of compensation or salary. Rather, salary will be set reputed company on experience, geographic location and possibly contractual requirements and could fall reputed company of this reputed company.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting reputed company:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at reputed company:

Our benefits package for reputed company US-reputed company employees includes a reputed company of medical plan reputed company, some with Health Savings Accounts, dental plan reputed company, a reputed company plan, and a 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life reputed company, reputed company offers employees full reputed company work weeks where possible and a reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave. reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year. reputed company leave and reputed company holidays are prorated reputed company on the employee’s date of hire. The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees. To ensure our employees are reputed company to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident reputed company are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and reputed company intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and reputed company purposes.

About Our Work:

We are reputed company. A global technology and reputed company company that delivers technology solutions and mission services to every major agency across the U.S. reputed company, defense and intelligence community. Our 26,000 experts extract the reputed company of technology to create immediate value and reputed company solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-reputed company capabilities in AI, reputed company, cyber and software development.reputed company to stay up to date on our reputed company and events at

reputed company.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

Originally posted on Himalayas

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