Provider Relations Network Specialist Jobs in Pennsylvania

Prepare and maintain up-to-date enrollment workflows consistent with requirements of specific implementations.

Pull and distribute monthly reporting per requirements of individual provider contracts.

An active Counseling License (OMSAS) or Substance Use Disorder Certification (Pennsylvania Certification Board) is strongly preferred.

Previous experience (2+ years) working in the SUD (addictions) profession

Knowledge of substance use disorders; if in recovery, at least 2 years of sustained recovery

Excellent oral and written communication skills, organizational skills, and high attention to detail

5+ years managed care provider relations experience

Strong knowledge of Pennsylvania State and CMS regulatory requirements

Benefits & Wellness Program including generous Time Off

Direct and support a team responsible for the servicing, education and communication to our provider network.

Develop and deploy provider education efforts throughout network.

Drive the effort to increase the availability of self-service tools/informatino to the provider, improving overall experience and satisfaction.