Provider Relations Analyst

Location:

Calmont Operations Building

Department:

Network Mgmt

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Position will report directly to the Director, Access & Delivery. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and Director of Access & Delivery Management and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including physician education, facilitation and resolution of complex, urgent problems.

Additional Information:

Education:

• Bachelors Degree preferred, but will consider 10 years healthcare/provider and/or member services experience in lieu of degree.

• 1-2 years experience in a provider or member services role working with state regulatory agencies preferred.

• Familiarity with the provider community, presenting in a public setting and public speaking is desired.

• Medical billing and Healthcare industry knowledge a plus.

• Basic understanding of CHIP & STAR benefits, and NPI/TPI relationships for billing.

• Working knowledge of HMO business operations specifically member services, claims, credentialing and plan operations.

• Experience with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint).

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region.  Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.