Provider Relations Representative

Job Description

It’s Time For A Change...

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely—56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

What You’ll Be Doing:

As a Provider Relations Representative, your initial job duties will include, but are not limited to the following:

This position will be accountable for all the work executed through the Provider Services unit. The Provider Relations Representative provides training, education and guidance to network providers within the service delivery area for the Cook County Health and Hospital System account.

This job is 70% field-based and requires access to personal transportation.

Essential Duties and Responsibilities may include:

• Monitor and Triage Provider Relations Workflow queue
• Conduct on-site visits. Tasks include orientation, training, and working with providers and staff to problem solve day-to-day issues and identify barriers.
• Introduce and familiarize providers on all aspects of the provider manual related to services, benefits and provider requirements; care coordination protocols; claims filing; and health, safety, and welfare education.
• Serve as internal liaison with operational departments regarding provider service projects
• Create reports, projects, and other duties, as appropriate
• Monitor and trend provider issues documented through workflow, calls, emails, and other avenues
• Respond to Network issues, as appropriate
• Other duties as deemed appropriate

The Experience You’ll Need (Required):

• Bachelor's degree or equivalent years of service
• 2 years’ experience with provider relations, field experience strongly preferred
• Familiarity with Cook County providers and hospitals, preferred
• Ability to build strong provider relationships
• Strong organizational, multi-tasking and time-management skills
• Experience with rapidly adapting to process changes
• Requires strong competency with Microsoft Office (specifically Microsoft Excel)
• Proven ability to work independently and as a team member
• Good communication (written and oral) and interpersonal skills

Technical requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled reopening of our office locations.

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.