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Provider Relations Representative

WHO WE ARE

AIDS HEALTHCARE FOUNDATIONDoes the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you!Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the world. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them

AHF’s core values are:• Patient-Centered• Value Employees• Respect for Diversity• Nimble• Fight for What’s RightSTILL INTERESTED? Please continue!

YOUR CONTRIBUTION TO OUR SUCCESS!

The Provider Relations Representative I (“PR Rep I”) is responsible for projecting and integrating AHF’s mission and core values into the operations of the Contracting and Provider Relations Department. The Contracting and Provider Relations Department is a dynamic department that provides a wide array of services to AHF’s managed care plans and AHF Healthcare Centers (HCCs).

In collaboration with the Contracting and Provider Relations Manager, PR Rep I assists with the execution of provider training and recruitment tactics. He or she initiates efforts to contract with providers to meet access standards, support service area expansion efforts, and fulfill needed subspecialty provider requests for AHF’s Medicare Advantage and Medi-Cal managed care plans and Ryan White Care Act (RWCA) specialty services grants. Provider education and training responsibilities include execution of weekly/monthly/quarterly training programs and deploying tools and resources for network providers and AHF HCC staff. The PR Rep I will spend at least fifty percent (50%) of his or her time conducting in person provider trainings.

The PR Rep I delivers services that ensure internal/external provider/customer satisfaction and high retention rates. Job performance evaluation is heavily based on network provider and AHF HCC staff feedback on training effectiveness.

Essential Duties and Responsibilities

Includes the following. Other duties may be assigned.

Research providers by specialty, facility types and ancillary providers/vendors in assigned county/region/territory and create lists of potential providers with whom AHF may wish to contract.

Monitor accuracy and completeness of provider directory information including but not limited to tracking terminations and additions to provider network for regulatory reporting and general network maintenance. Collaborate with the Provider Data Management Department to ensure network provider data is accurate and complete.

Generate internal and external provider reports including quarterly Geo Access reports for network monitoring needs.

Identify, document, triage and resolve assigned provider complaints.

Education and/or Experience

Bachelor’s degree (B.A) from four-year College or university: or one to two years related experience and/or training or equivalent combination of education and experience.

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

Job Type
Full Time
Salary
N/A
Experience
N/A
Posted
70 days ago

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