Provider Relations Rep - Somerset, NJ Req #: 0000173888
Category: Professional / Management
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Accountable Care Organization
Location: RWJ - 379 Campus Dr. Somerset, 379 CAMPUS DRIVE, SOMERSET, NJ 08873

Job Overview:

The Provider Relations Rep will be responsible for developing and maintaining relationships with physician and business leadership of key physician groups. The Provider Relations Rep will oversee and monitor all provider activities which includes: ensuring network accessibility thresholds are met, assist and troubleshooting with the EHR connectivity, securing contracts, amendments and single case agreements as needed, managing the provider termination process and other related duties which impact the overall network.

Qualifications:

Required:

Associate Degree or higher requiredMust possess strong interpersonal, communication, management, and technology skills.Must demonstrate team building and collaborative practice behaviorsMust demonstrate understanding of performance improvement and quality outcomes managementAbility to travel various part of New Jersey to visit the Physician/Physician GroupsDemonstrate ability to multi-task, prioritize, and use good judgement in a fast-paced environmentStrong presentation and problem-solving skills; familiar with root cause analysis

Preferred:

1-3 years of healthcare experience, preferredPhysician office operations experience

Essential Functions:

Assist with establishing connectivity with the Partner s EHR and RWJBH System s EHR; partnering with IT&S DepartmentAssist with partner physician s connectivity issue, provide education and repeated training (as needed) on the EHR connectivity solutionReview the practice s usage of the platform and work with the practice to improve the network integrity through the optimal usage of the platformCommunicates with external constituents and effectively engages the provider community, demonstrating the organization s value propositionManage a database of potential providers for recruitment; gather necessary data and relevant information to present to management for effective contract negotiations maintain an effective tracking system of all outreach attempts, communications and final outcomesManages all provider data submission for RWJ value-based programsResolves first line policy questions referred by practice staff and works with partner managers as needed to resolve escalated issuesWorks collaboratively with partner departments, information technology and facility based programs to provide seamless customer service to providers; be open to be EPIC trained as needed for the systemParticipates as a representative of Network Management Administration team on internal committees and workgroups, as assignedContributes to the Network Management Administration team effort by accomplishing related tasks and projects as neededMaintains RWJBH Medical Neighborhood operationally and audit physician s demographic information who are participating in Medical Neighborhood to ensure data accuracyAssists with any other projects for the network management department as required

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Additional Information:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

Paid Time Off (PTO)Medical and Prescription Drug InsuranceDental and Vision InsuranceRetirement PlansShort & Long Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

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RWJBarnabas Health is an Equal Opportunity Employer