Network Engagement Representative

Job Description:

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.

Job Description

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
 

Job Essentials

• 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.

Minimum Qualifications
 

• 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.
  - and –
• Intermediate working knowledge of word processing and spreadsheet programs.
  - and –
• Demonstrated history or working independently and executing organizational goals with minimal oversight.

Preferred Qualifications
 

• Ability to think and communicate strategically on various health care related topics.
  - and –
• Demonstrated ability to build effective strategic business relationships.
  - and –
• Demonstrated ability to make sound business decisions and strategic suggestions.
  - and –
• Demonstrated proactive initiative.
  - and –
• Excellent communication and presentation skills.
  - and –
• Demonstrated effective interpersonal and problem resolution skills.
  - and –
• Clinical or health insurance experience.
  - and –
• 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.

Skills

• Excellent written and verbal communication skills
• Computer literacy
• Leadership
• Time Management
• Word Processing
• General knowledge of spreadsheets
• Prioritization
• Initiative
• Collaboration
• Teamwork
• Professional Etiquette

Physical Requirements:

Physical Requirements

• 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.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$26.84 - $42.28

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a 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.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.