Job Description

eternalHealth – The Next Generation of Medicare Advantage

Healthcare is confusing, but it doesn’t need to be. eternalHealth is a consumer-centric, Medicare Advantage Health Plan. We are committed to creating long-lasting partnerships with our members, our providers, and you!

About the role : As a Provider Engagement Representative with eternalHealth you will be supporting the end-to-end process of building and maintaining a high-quality provider network. This includes supporting ongoing growth, resolving provider issues as assigned and the day-to-day management of our provider network. A high performing provider network is a critical component of our success, and our relationships with our providers are rooted in trust and

transparency. In this important and valued role, you will gain insight into multiple areas of network management, from recruitment strategy to special projects to collaborating with our providers on performance improvement initiatives. This external facing role will provide the opportunity to fully understand and communicate eternalHealth’s value proposition to our provider partners. This role will report directly to the VP of Network

We provide a unique opportunity to be a part of a health plan in its beginning stages. By taking advantage of this rare opportunity, you will have insight into the operations and expertise that is required to run a successful and sustainable plan. Our team members are flexible and able to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.

Responsibilities :

• Accountable for the development and enhancement of network relationships through onboarding, business interactions, and outreach.
• Resolve network issues in a timely and effective manner.
• Collaborate with relevant stakeholders to deliver education, training, and information on eternalHealth products and strategy.
• Oversight and accountability of all provider data management functionality to include roster management, data validation and management, special projects, and gap/expansion strategy.
• Communicate our brand, values, and differentiators effectively and accurately.
• Maintain strict privacy and confidentiality in accordance with eternalHealth’s security standards.
• Oversight and monitoring of all communication received through the provider relations email box; responding timely, accurately, and efficiently.
• Serve as a communication link between providers and eternalHealth as the main point of contact for assigned provider groups.
• Respond to and resolve provider issues in an efficient manner.
• Conduct regular joint operating committee (JOC) meetings, at minimum quarterly, with strategic provider partners.
• All others maintain regular phone and/or video conference check-ins with providers within the assigned territories. Support the sales and marketing teams by assisting in the sourcing and coordination of member support events and distribution of material.
• Lead contract negotiations as assigned.
• Assist with provider credentialing needs.
• Lead special network projects as assigned.
• Assist with the onboarding of new employees.
• Proactively elicit provider feedback to help enhance their overall Plan experience.
• Continuously work to understand the market and provider needs to improve the overall strategic plan.
• Additional duties as assigned.

Requirements :

• Bachelor’s degree in relevant field of study (e.g. Business administration, Data Analytics, Healthcare Operations / Administration) or equivalent work experience.
• Minimum 4-5 years of experience in managed healthcare, health plan network contracting, and provider relations experience required.
• Strong technical skills, including Microsoft Suite and other collaborative tools.
• Effectively communicate needs, process improvements, and wins with your network team and C-Suite officers.
• Excellent written, negotiation, and communication skills.
• Creative, strategic, and continuously striving for improvement.
• Ability to present information to audiences of various skill levels.
• Flexible and able to ramp up quickly on different projects in order to support the team as needed in a fast-paced start-up environment.
• Strong organization skills to sift through large amounts of data to gain insight on members and markets.
• Current driver’s license and reliable transportation.

Preferred:

• Experience in client-facing negotiating roles, and/or in start-ups, tech, healthcare, or insurance is a plus.
• Experience with healthcare operations is a plus.

Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodations during the application process (which may include a job-related assessment) please contact us separately at [email protected]

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