Centivo is looking for a Provider Network Relations Consultant to join our team!

As a Provider Network Relations Consultant, you will be responsible for ensuring a smooth onboarding experience for our providers as they join our proprietary network. The successful candidate will be responsible for educating and re-educating providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. Additionally, the Provider Network Coordinator will be responsible for monitoring service capabilities and collaborating cross-functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved.

What you’ll do:
Working under guidance of the Director Provider Relations, you will:

• Coordinate outreach and ensure providers have a smooth onboarding experience as they join our proprietary network.
• Educate and re-educate providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures.
• Monitor service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met.
• Resolve escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information.
• Work with provider partners to ensure high quality and current provider data.

You should have:

• Ability to travel to local provider sites.
• You don’t need 40+ years of experience (although we believe that 2+ of relevant healthcare experience is helpful)
• That previous experience should have been working with and interacting with healthcare providers and facilities
• Salesforce (or similar application) experience
• You want to work in a fast-paced environment with constant change.
• Undergraduate degree or equivalent experience
• You enjoy being a team player, but not afraid to work independently when needed.
• And although it’s not required, we’d love it if you have relevant experience presenting virtually

Work Location:
This positions requires local travel to healthcare provider sites in the Eastern Wisconsin market. This is a remote role but only candidate that reside in Eastern WI will be considered.