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Provider Relations Representative II in Woburn, MA at Beacon Health Options

Date Posted: 12/28/2018

Job Snapshot

Job Description


We are currently seeking a team of dynamic Provider Relations Representatives to join our team in Woburn, MA. The Provider Relations Reps will be responsible for providing the highest quality of service to providers and internal & external customers by maintaining proper standards for provider and customer interactions. 

Position Responsibilities:

  • Network Monitoring  – Research and identify new providers for recruitment into the Beacon Health Options provider network.
  • Quality Performance and Improvement  – Collect and interpret provider performance data and review with the provider during face to face meetings on a regularly scheduled basis as part of a continuous quality improvement process.
  • Research and Problem Resolution  – Perform research and problem resolution on issues related to provider complaints, claims reported to have been processed incorrectly, coordinating credentialing paperwork, provider communications or verification of information as requested.
  • Customer Service  – Perform responsibilities and tasks in ways which promote good will, build positive relationships, preserve human dignity and contribute positively to the service commitment of the Company.
  • Administrative Support –  Obtain, process, manage and maintain both hard-copy and computer based provider information necessary for network development and maintenance activities. 

Position Requirements:

  • Education : High School Diploma/GED required, Bachelor’s Degree preferred
  • Relevant Work Experience:    At least five years of experience in Network Management or Provider Relations in the behavioral health or managed care setting.
  • Knowledge, Skills & Abilities : Knowledge of and experience in provider benefits, an administration/health care setting and with providers and provider networks. Must have Interpersonal communication and Verbal and written communication skills.


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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled