Provider Relations Coordinator
Core
Primary liaison between Cook Children's Health Plan and contracted physicians, hospitals, and ancillary providers, conducting onsite orientation, education, and relationship management to support network engagement and compliance.
Role type
Field-based provider relations coordinator
Builds
Provider network engagement and operational compliance for a pediatric health plan
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
Provider orientation and training, relationship management, problem resolution, presentation skills, knowledge of Texas Medicaid and CHIP, provider directory management, newsletter and reference guide development
Preferred skills
Experience with governmental managed care programs
Responsibilities
Conduct onsite provider orientation, education, and training; track and resolve provider complaints and issues; ensure accuracy of provider directory information; develop and publish provider newsletters and reference guides; deliver provider performance scorecards; communicate health plan initiatives to providers
Seniority
Mid-level, hands-on IC
