Sanford Health Provider Relations Specialist - Provider & Payor Relations in Bismarck, North Dakota

Job Title: Provider Relations Specialist | Provider & Payor Relations | Multi-City

City: Enterprise

State: Multi-State

Department : Provider & Payor Relations

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

This position will sit in Sioux Falls OR Fargo.

Acts as the primary liaison between the Health Plan and its network providers, including physicians, hospital, and ancillary services. Responsible for daily communication with providers with respect to questions, concerns, and complaints and therefore must have a broad understanding of the substantive and procedural aspects of the Health Plan. Responsible for recruiting and signing up providers to the network. Knowledge of Managed Care - utilization management and provider reimbursement. Sales skills. Must communicate effectively and with a high level of diplomacy with providers. Must assimilate large amounts of information to maintain a broad knowledge base. Should exercise good judgment in determining best methods of handling a variety of situations. Handles pressure effectively. Maintains confidentiality.

QUALIFICATIONS

A bachelor's degree is required. Marketing/Sales training are helpful.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-243-1372 or send an email to talent@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .

City: Multi-City

State: Multi-State

Job Function: Health Plan

Job Schedule: Full Time

Shift: Days

Req Number: req16427