Job description

The Provider Relations Representative I (“PR Rep I”) is responsible for projecting and integrating AHF’s mission and core values into the operations of the Contracting and Provider Relations Department. The Contracting and Provider Relations Department is a dynamic department that provides a wide array of services to AHF’s managed care plans and AHF Healthcare Centers (HCCs).

In collaboration with the Contracting and Provider Relations Manager, PR Rep I assists with the execution of provider training and recruitment tactics. He or she initiates efforts to contract with providers to meet access standards, support service area expansion efforts, and fulfill needed subspecialty provider requests for AHF’s Medicare Advantage and Medi-Cal managed care plans and Ryan White Care Act (RWCA) specialty services grants. Provider education and training responsibilities include execution of weekly/monthly/quarterly training programs and deploying tools and resources for network providers and AHF HCC staff. The PR Rep I will spend at least fifty percent (50%) of his or her time conducting in person provider trainings.

The PR Rep I delivers services that ensure internal/external provider/customer satisfaction and high retention rates. Job performance evaluation is heavily based on network provider and AHF HCC staff feedback on training effectiveness.

Essential Duties and Responsibilities

Includes the following. Other duties may be assigned.

• Research providers by specialty, facility types and ancillary providers/vendors in assigned county/region/territory and create lists of potential providers with whom AHF may wish to contract.
• Monitor accuracy and completeness of provider directory information including but not limited to tracking terminations and additions to provider network for regulatory reporting and general network maintenance. Collaborate with the Provider Data Management Department to ensure network provider data is accurate and complete.
• Generate internal and external provider reports including quarterly Geo Access reports for network monitoring needs.
• Identify, document, triage and resolve assigned provider complaints.

Education and/or Experience

Bachelor’s degree (B.A) from four-year College or university: or one to two years related experience and/or training or equivalent combination of education and experience.

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

Job Type: Full-time

Pay: $26.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• Management: 3 years (Preferred)

Work Location: Hybrid remote in Los Angeles, CA 90028

jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.