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Provider Relations Associate Analyst
Ref No.: 19-04158
Location: Franklin, Tennessee
​Seeking qualified and experienced candidates to join a Fortune 100 Healthcare Company!
  • This position is accountable for all functions through the initial review of the Onboarding process to assure that physicians meet the health plan's requirements for employment as a contracted physician.
  • Processes provider applications by reviewing for credentialing, loading, and contract requirements.
  • Ensures compliance with NCQA and state mandates as defined by policy and procedures.
  • Gathers provider’s information, updates customer workflow tool, and communicates with providers by phone, email, or mail regarding Onboarding status and missing information needed.
  • Discrepancies associated with provider information submitted may require telephonic outreach to validate and verify health care professional’s credentials.
Skills:
  • Excellent organization skills and ability to manage multiple priorities.
  • Computer literate in Microsoft Office products.
  • Strong communication, interpersonal, and strong time management skills.
  • The candidate must be able to work independently, demonstrate good critical thinking skills, and be able to learn and apply quickly in a fast pace work environment.
  • Strong communication and interpersonal skills.
  • Excellent analytical and problem solving skills.
Experience: 
  • Minimum of one year healthcare related experience
Education:
  • High School Diploma Required
  • Associate Degree and previous credentialing experience preferred
Languages:
  • English Read Write Speak
*This need is for a full calendar year commitment or longer, as the training is complex.