Provider Relations Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Provider relations representative supporting healthcare organizations in GDIT’s World Trade Center Health Program. Managing onboarding, issue resolution, training, portal adoption, EFT, and operational reporting.
Responsibilities:
- Serve as the primary point of contact for assigned healthcare providers
- Conduct provider touchpoints and executive-level check-ins/QBRs as needed
- Track provider sentiment and satisfaction and drive action plans
- Document interactions, decisions, and follow-ups in CRM/case management tools
- Coordinate end-to-end provider onboarding, including welcome materials, portal registration, EFT setup, credentialing handoffs, and directory validation
- Monitor onboarding milestones, remove blockers, and communicate status and next steps
- Deliver provider training through webinars, welcome packets, and job aids
- Maintain FAQs, guides, and reference materials
- Resolve and triage escalated issues involving claims, credentialing, EFT, enrollment, and portal access
- Perform root-cause analysis and track corrective actions through closure
- Promote portal features and self-service workflows and assist with registration, user management, navigation, and troubleshooting
- Increase EFT adoption and coordinate verification and updates of banking/EFT data
- Collaborate with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT
- Represent provider needs in workgroups and report measurable outcomes
- Maintain dashboards and logs covering satisfaction, first-contact resolution, onboarding timeliness, case aging, portal adoption, and SLA compliance
- Analyze trends and contribute to continuous improvement initiatives
- Ensure policy, regulatory, privacy, security, and audit-ready documentation compliance
Requirements:
- 3+ years of related experience
- Skills in business operations, data ingestion, problem solving, and reporting management
- No certifications required
- No security clearance required
- No US citizenship requirement
- Ability to support provider onboarding, education, issue resolution, relationship management, and engagement
- Experience with CRM/case management tools
- Ability to collaborate across provider data, credentialing, contracting, claims, finance, clinical operations, communications, and IT functions
- Ability to maintain audit-ready documentation and protect provider information
- Ability to work 40 scheduled hours per week
- Travel requirement of less than 10%
Benefits:
- Medical plan options, some with Health Savings Accounts
- Dental plan options
- Vision plan
- 401(k) plan with pre-tax and post-tax contributions and company match
- Full flex work weeks where possible
- Vacation, sick, personal, holiday, paid parental, military, bereavement, and jury duty leave
- Typically 15 days of paid leave per calendar year
- 10 paid holidays per year
- Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
- Short- and long-term disability benefits
- Life insurance
- Accidental death and dismemberment insurance
- Personal accident insurance
- Critical illness insurance
- Business travel and accident insurance
- Remote work
Similar Jobs
Field Service Representative
Field Service Representative maintaining Solar Turbines equipment across Georgia and Alabama. Diagnosing, repairing, installing and commissioning turbomachinery and package systems for energy customers.
Field Service Representative
Field Service Representative maintaining and troubleshooting turbomachinery for Solar Turbines’ industrial energy solutions business. Performing preventive maintenance, repairs, installations, and commissioning at customer locations.
Specialty Representative, Gastroenterology
Specialty Representative promoting AbbVie’s immunology medicines across Fargo-area healthcare accounts. Managing territory strategy, customer relationships, sales calls, and market intelligence.
Specialty Representative, Gastroenterology
AbbVie specialty representative driving immunology sales across North and South Dakota. Managing healthcare-provider accounts, territory strategy, customer relationships, and brand performance.
Territory Representative
Territory Representative delivering, stocking, and merchandising convenience-store products for Max Distributing in Savannah. Managing store relationships, inventory, displays, orders, and route documentation independently.
Retail Route Representative, Company Vehicle Provided
Retail Route Representative merchandising and delivering products for Max Distributing, a national convenience-store distributor. Managing store visits, inventory, displays, invoicing, and route documentation independently.
Retail Merchandising Representative
Retail merchandiser stocking and selling convenience-store products for Max Distributing, a national U.S. distributor. Visiting stores, taking orders, resetting displays, and reporting service visits via mobile app.
Field Service Representative
Field Service Representative maintaining turbomachinery for Solar Turbines’ energy solutions. Installing, troubleshooting, and servicing customer equipment across Michigan or Indiana.
Talent Experience Representative I
Talent Experience Representative coordinating learning, culture, training, and employee events for KinderCare Learning Companies. Managing project plans, schedules, logistics, documentation, and cross-functional execution.
Medical Representative
Medical Representative promoting Abbott pharmaceutical products across assigned Chinese hospital territories. Managing customer visits, product presentations, territory plans, and hospital relationships.
Retentions Representative
Retentions Representative supporting Teleperformance’s customer-experience services in Bogotá. Managing client concerns, resolving conflicts, and retaining customers through a home-based campaign.
Specialty Representative, Migraine
Specialty Representative promoting AbbVie’s migraine medicines across Paducah healthcare accounts. Managing territory strategy, customer relationships, sales calls, and market intelligence.
Consumer Engagement Representative
Consumer Engagement Representative explaining mail-order pharmacy benefits for CenterWell Pharmacy, Humana’s integrated pharmacy and healthcare services business. Guiding members through enrollment and improving consumer experience via live calls.
Specialty Representative, GI Care
Specialty Representative driving GI pharmaceutical sales for AbbVie, an innovative medicines company, in Houston. Managing healthcare accounts, territory strategy, and customer relationships to grow brand performance.
Field Service Representative
Altra Running Field Service Representative supporting retailers, community events, and footwear sell-through across South Florida. Executing seasonal activations and territory service plans remotely with frequent local travel.
Medical Representative
Abbott Medical Representative managing hospital and physician visits across an assigned China territory. Delivering product presentations, developing pharmaceutical products, and achieving regional sales targets.
Senior Medical Representative
AbbVie oncology medical representative promoting hematology products and communicating medical information to healthcare professionals in Guangzhou. Achieving territory objectives, gathering market insights, and reporting product safety events compliantly.
Dealer Development Representative
Dealer Development Representative growing Fifth Third Bank’s indirect-lending volume across New Jersey and New York. Building dealership partnerships, training personnel, structuring deals, and managing dealer accounts.
Pre-Service Representative
Pre-Service Representative verifying insurance benefits and securing authorizations for Ochsner Health patients. Communicating liability and coordinating pre-service requirements before scheduled care.
Junior Customer Representative, German
Junior customer representative supporting German-speaking customers for Elavon, U.S. Bank’s payment-solutions subsidiary. Handling account, card, payment, and transaction inquiries remotely from Poland.