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Senior Provider Relations Representative - Enhanced Care Management (ECM)

Company: Central California Alliance for Health
Location: Salinas
Posted on: July 28, 2022

Job Description:

WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Provider Relations Manager, you will:


  • Lead recruitment, contracting, training and relationship management for Enhanced Care Management (ECM) and Community Supports (CS) providers
  • Provide support for additional new provider types that may emerge
  • Assist the Provider Relations Manager and Provider Relations Supervisor with Unit administration and special projects, as assigned

    THE IDEAL CANDIDATE

    • Working knowledge of health care, preferably managed health care
    • Working knowledge of ECM/CS program functions
    • Working knowledge of the principles and practices of community-based service delivery to at-risk populations
    • Working knowledge of community-based organizations and/or medical office practices and processes, including those related to workflow design and improving the member experience
    • Working knowledge of the principles and practices of public relations
    • Working knowledge of California Medi-Cal, Medicaid, Medicare, In-Home Supportive Services (IHSS), entitlement programs, and related regulations
    • Working knowledge of local provider networks within the Alliance service area
    • Working knowledge of medical terminology

      WHAT YOU'LL NEED TO BE SUCCESSFUL
      To read the full position description, and list of requirements.

      • Knowledge of:

        • Basic principles and practices of program and project management
        • Conflict resolution techniques
        • Methods and techniques of research, analysis, and reporting
        • Principles and practices of customer service

        • Ability to:

          • Develop and implement effective provider recruitment strategies
          • Develop and prepare informational and training materials and conduct provider orientations and trainings
          • Apply public relations skills when working with provider networks
          • Understand and communicate the complex operations and processes of the Alliance
          • Identify issues, conduct research, gather, analyze, and interpret relevant information and data, prepare reports, and make recommendations for action
          • Interpret, apply and explain policies, standards, regulatory requirements and guidelines


          • Education and Experience:

            • Bachelor's degree in Business, Public Relations, Health Care or a related field
            • Five years of experience in a health care, community health services, social services, customer service, or public relations environment, including some project lead experience (an Associate's degree and an additional two years of experience may substitute for the Bachelor's degree); or an equivalent combination of education and experience may be qualifying



              OTHER DETAILS

              • While this position is connected to one of our Alliance offices, we are in hybrid telecommute work environment right now and we anticipate that the interview process will take place remotely.
              • Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
              • Based on the nature of work, this position may require onsite presence and/or fieldwork, which is dependent on business need. Details about this can be reviewed during the interview process.

                COVID-19 Vaccine Requirement: This position requires staff to be fully vaccinated and boosted upon their start date as a condition of employment. Proof of vaccination must be submitted at time of hire. Fully vaccinated is defined as receipt of the second dose in a 2-dose series (ex: Pfizer & Moderna vaccines) OR receipt of a single-dose vaccine (ex: Johnson & Johnson); AND receipt of the booster (if eligible); AND a 2-week period having passed since the administration of the last vaccine dose.

Keywords: Central California Alliance for Health, Salinas , Senior Provider Relations Representative - Enhanced Care Management (ECM), Executive , Salinas, California

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