Provider Specialist
DataStaff is in immediate need of a Provider Specialist for one of our direct clients in the Des Moines, IA area for a contract opportunity.
NOTE: This is a remote position, but candidates must reside in Iowa and must be able to pick up equipment in Des Moines as well as have reliable transportation.
It requires you to have a professional, quiet workspace, free from distractions with high-speed hard-wired ethernet internet capability.
Responsibilities:
- Work closely with the cross functional areas and levels to resolve difficult and complex cases related to critical issues.
- Initiate, establish, and maintain a productive relationship with each of the participating managed care organizations.
- Establish and maintain ongoing communication with the health plans.
- Log, track, and manage all communication to and from health plans related to individual issues in a timely manner.
- Work with operating divisions to communicate complex and critical incidents, and to receive feedback to be communicated to the appropriate managed care organizations.
- Provide the Project Manager and state policy staff with updates regarding complex and critical managed care organization issues.
- Perform other duties as may be assigned by management.
Required Skills:
- Bachelor's degree with 3+ years of experience.
- May have additional training or education in area of specialization.
- Develop solutions to a variety of problems of moderate scope & complexity.
- General application of concepts & principles.
- Contribute to the completion of organizational projects & goals.
- Frequent use and general knowledge of industry practices, techniques, and standards.
- Apply knowledge and skills to complete a wide range of tasks.
- Communicate on complex or sensitive issues or draft responses for supervisor or manager.
This position is available as a W2 position with a competitive benefits package. DataStaff, Inc. offers medical, dental, and vision coverage options. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.