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Representative, Provider Relations - CFHP

University Health System San Antonio, TX Full-Time
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Working with Department management recruits and trains primary care physicians and a limited panel of specialists and appropriate office support staff on basic Health Plan operation issues and health plan service delivery issues. Responds to and effectively resolves issues and concerns of PCPs, specialty providers within assigned geographic territory documenting resolution, initiating additional training identified and communicating trends to management staff.

Minimum of two years college level work in business, health care administration or a related area is required. An Associate's degree is highly preferred. Two years of progressively increasing responsibility and experience in a managed care environment may be substituted for the two years college level work. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.

Valid Texas driver's license as well as a reliable vehicle is required.



Recommended skills

Service Delivery
Primary Care
Health Policies
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Job ID: 29128


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