Provider Relations Representative - St. Luke's Health Plan

Provider Relations Representative

At St Luke's Health Plan our dedicated team strives to build a positive, supportive, and inclusive culture that delivers exceptional member experiences.

The Provider Relations Representative plays an integral role in fostering positive relationships with healthcare providers by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various St. Luke's Health Plan initiatives. The Provider Relations Representative is responsible for network management including provider education, communication, satisfaction, issue intake, and access/availability while achieving the highest level of provider satisfaction.

What You Can Expect:

• Schedule: Monday-Friday business hours, hybrid position
• Duties: Serve as a primary point of contact for provider groups and staff to address questions and concerns in a timely, responsive manner
• Maintains professional, positive working relationships and accurately conveys relevant and current information
• Ability to work with providers and strong understanding of insurance claims, revenue cycle, and/or background in medical billing, and understanding of commercial and Medicare Advantage lines of business

Qualifications:

• Education: Bachelors degree or experience in lieu of degree
• Experience: 4 years relevant experience

St. Luke's Health Plan is a wholly-owned, not-for-profit subsidiary of St. Luke's Health System, offering health insurance coverage for individuals, families and employers across south central and southwestern Idaho. Building on more than 120 years of committed service to Idaho, St. Luke's Health Plan is on a bold and ambitious mission to redefine the coverage to care experience, removing barriers for both members and providers and creating a more seamless, hassle-free experience

At St. Luke's, caring for people in the communities we serve is our mission and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.