Network Engagement Representative

Intermountain Health • Nevada Central Office, NV

6d • $28 - $44 • 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. Coach junior representatives and inform leadership on strategic issues.

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 at 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
• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity, hearing, speaking, seeing.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

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 to present at the Participating Practitioner Steering Committee (PPSC) regarding providers requesting to join SelectHealth Networks
• Participates in PPSC committee to determine provider status on networks.
• Provides education to physician offices regarding such things as industry and market trends, SelectHealth 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, Participating Practitioner Service Agreements (PPSA), 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

• Generous 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.
• Tuition coverage paid directly to the academic institution.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Eligible to participate in PEAK on day 1 of employment.

What This Job Offers

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