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Provider Relations Associate Analyst
Spectraforce
US
Remote

a month ago

Job Description

Job Title: Provider Relations Associate Analyst
Duration: 5+ months
Schedule: Remote Position, 8:00 AM – 4:30 PM CST


Note:

  • While working remotely, any children/dependents in the home must be cared for by another adult during work hours.
  • Equipment supplied by Client
  • High-speed internet required (not provided)
  • Initial training: onboarding requests from providers joining the Evernorth Behavioral Network
  • After a few months: transition to customer service call team with additional training

Drive the growth and integrity of the Client's Behavioral Health Network by recruiting and onboarding providers, ensuring accurate data management across systems, and executing provider contracts. This role demands strong communication, problem-solving, and relationship-building skills to deliver exceptional service and maintain operational excellence.

Key Responsibilities

  • Recruit and onboard behavioral health providers

  • Build and maintain provider relationships

  • Negotiate contracts and explain plan policies

  • Ensure accuracy of provider data and contract updates

  • Respond to inquiries regarding contracting and data

Qualifications

  • 1+ year of experience in healthcare or insurance

  • Strong communication and problem-solving skills

  • Proficiency in Microsoft Office and data systems

  • Ability to shift between tasks and prioritize effectively

  • Skilled at meeting production metrics in a fast-paced environment

  • Experience with provider relations and contract management

  • Collaborative mindset with a focus on team success

Skills

  • Organizational Skills
  • Public Relations

  • Public Health

  • Claims

  • Outbound Calls

  • Billing

  • Mental Health

  • Customer Service

  • Retail Sales

  • Time Management

  • Queue Management

  • Case Management

  • Problem Solving

  • Office Support

  • Multitasking

  • EOBs

  • Customer Service Oriented

Technical & Personal Skills

  • Excel in virtual team environment

  • Superb interpersonal communication skills

  • Effective listening and organizational skills

  • Ability to manage multiple tasks

  • Intuitive technical capabilities with claim systems and applications

  • Independent problem-solving skills

  • Strong time management skills

  • Effective typing and strong PC skills

Attendance Policy

Good attendance required, especially in first 90 days

Corrective Action Process:

  1. 1st unapproved absence → Verbal Counseling

  2. 2nd unapproved absence → First Notice

  3. 3rd unapproved absence → Final Notice

  4. 4th unapproved absence → Termination

Late Arrivals/Early Departures

  • 7–15 minutes late → recorded as occurrence

  • 15–30 minutes late → recorded as occurrence (time may be made up same day at manager’s discretion)

  • 30+ minutes late → recorded as occurrence and time as unscheduled off (cannot be made up)

  • Exceptions determined by Supervisors

  • Excessive attendance issues may accelerate corrective action process

Education

  • Minimum Degree Required: Bachelor’s Degree
  • No certifications or licenses required

Languages

English: Read, Write, Speak

 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 21.23/hr.

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