Network Engagement Representative

Intermountain Health • Murray, UT

2d • Hybrid

About The Position

Strategically develop and manage highly aligned member focused health insurance networks by partnering with hospital and clinic administrations, Intermountain Medical Group and affiliated practitioners; demonstrating sound business decisions; and developing relationships of trust. This position is mostly remote, but the candidate needs to be located in the northern half of Utah for any in-person meetings, events, or clinic visits that they will be responsible for. Essential Functions Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability. Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership. Researches and prepares information related to provider network participation requests and participates in the review process to determine provider eligibility and network status. Provides education to physician offices regarding such things as industry and market trends, strategic direction and value-based health care and other products. Review reports, Dashboards, Provider Insights and other information relevant to their practices. Uses in-depth understanding of fee schedule methodology, service agreements, and credentialing processes to effectively educate providers and staff. Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity. Anticipates and recognizes issues and is proactive in problem resolution. May oversee the problem-solving process. Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes. Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.

Requirements

• Bachelor's degree in Health Care Administration or business related field or two years of health care experience. Degree must be obtained through an accredited institution. Education is verified.
• Two years of experience working with health care providers in a professional sales or service position.
• Intermediate working knowledge of word processing and spreadsheet programs.
• Demonstrated history or working independently and executing organizational goals with minimal oversight.
• Excellent written and verbal communication skills
• Computer literacy
• Leadership
• Time Management
• Word Processing
• General knowledge of spreadsheets
• Prioritization
• Initiative
• Collaboration
• Teamwork
• Professional Etiquette

Nice To Haves

• Ability to think and communicate strategically on various health care related topics.
• Demonstrated ability to build effective strategic business relationships.
• Demonstrated ability to make sound business decisions and strategic suggestions.
• Demonstrated proactive initiative.
• Excellent communication and presentation skills.
• Demonstrated effective interpersonal and problem resolution skills.
• Clinical or health insurance experience.
• Demonstrated ability to work well in a team setting. i.e. assisting team in reaching team goals, taking on additional workloads when necessary to support the team and constructively coaching in a positive manner.

Responsibilities

• Establishes and maintains strategic business relationships with providers and administrators with a focus on member needs, specifically access and affordability.
• Acts as a strategic partner with provider offices and the organization to help build and manage aligned relationships and provides strategic input and network recommendations to Directors and Executive level leadership.
• Researches and prepares information related to provider network participation requests and participates in the review process to determine provider eligibility and network status.
• Provides education to physician offices regarding such things as industry and market trends, strategic direction and value-based health care and other products.
• Review reports, Dashboards, Provider Insights and other information relevant to their practices.
• Uses in-depth understanding of fee schedule methodology, service agreements, and credentialing processes to effectively educate providers and staff.
• Carefully documents provider interactions, issues, concerns and other pertinent information in appropriate department systems for review, historical perspective and continuity.
• Anticipates and recognizes issues and is proactive in problem resolution. May oversee the problem-solving process.
• Works closely with departmental operations, contracting and compliance teams to effectively develop and manage internal relationships and contracting processes.
• Works with other organizational departments and teams to coordinate strategic programs, initiatives and other member centric programs.

Benefits

• Comprehensive benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level