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Provider Engagement Representative at HealthOne Alliance - ApplyBlast

Provider Engagement Representative

HealthOne Alliance

4 months ago

3.7 on Glassdoor

Dalton, Georgia

Hybrid

Full Time

Junior

3 applicants

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About this role

HealthOne seeks a Provider Engagement Representative to enhance well-being by connecting individuals with vital health resources through a compassionate workforce. This role involves servicing providers via public relations, problem-solving, and education while establishing Medicaid CMO communications protocols. The position requires collaboration across departments to ensure provider compliance with NCQA, CMS, and other quality initiatives.

Responsibilities

Maintain provider confidentiality and ensure HIPAA regulatory compliance
Facilitate provider surveys and communications for NCQA compliance
Provide education and coaching to providers on HEDIS measures and CMS programs
Review claim reports for denials and improve provider data submissions
Manage collaboration with other departments to meet provider and patient needs

Skills

Qualifications

Bachelor's Degree in Health Care Administration, Nursing, Business, or related fieldValid Driver's License

About HealthOne Alliance

healthonellc.com

Headquarters

Dalton, Georgia, United States

Company Size

51-200 employees

View Profile

HealthOne Alliance is a community-focused healthcare organization owned and governed by local health care providers. The company works directly with industry to support managed group health benefit plans and network needs. HealthOne's mission is to return healthcare decision-making to the community, keeping physicians and patients in control of their medical care.