TikTok Content & Creator Partnerships Intern focused on building and testing TikTok content engine. Engaging with creators and leveraging AI tools for innovative content creation.
About the role
- Provider Engagement Account Manager focusing on building client relations and managing provider networks for a health plan. Engaging with providers and driving optimal performance in care delivery and contract performance.
Responsibilities
- Maintain partnerships between the health plan and contracted provider networks.
- Build client relations to ensure delivery of care to members.
- Engage with providers on network performance opportunities and solutions.
- Drive optimal performance in contract incentive performance, quality, and cost utilization.
- Serve as primary contact for providers and liaison between providers and health plan.
- Triage provider issues as needed for resolution to internal partners.
- Receive and respond to external provider related issues.
- Investigate, resolve and communicate provider claim issues and changes.
- Educate providers regarding policies and procedures related to referrals and claims submission.
- Perform provider orientations and ongoing provider education.
Requirements
- Bachelor’s degree in related field or equivalent experience.
- Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.
- Project management experience at a medical group, IPA, or health plan setting.
- Proficient in HEDIS/Quality measures, cost and utilization.
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible work with remote, hybrid, field or office work schedules
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