Physician Relations Consultant I - Health Plan Network

Summary:

Works to ensure the contracted provider network is educated and oriented into the CHRISTUS Health Plan with operational understanding and expectations. Works in collaboration with additional operations teams to ensure the network provider has the education needed to function at the highest level with CHRISTUS Health Plan, including but not limited to, Quality, Pharmacy, and Care Management. This position is responsible for onboarding, educating, and servicing the provider contracted network. Serves as lead relationship contact for contracted providers. Plays an integral part in ensuring the contracted providers have a good network experience.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Educates all newly contracted providers with the CHRISTUS Health Plan process
• Serves as primary contact for network providers, using written and verbal skills when they have an issue needing resolution.
• Tracks and reports completed tasks, performs multiple tasks simultaneously
• Organizes and prioritizes work to meet deadlines.
• Partners with team members on special projects.
• Develops and maintains collaborative provider relationships that facilitate provider engagement, integration, and path to value arrangements.
• Manages provider engagement/risk continuum, prospecting potential providers for value-based opportunities.
• Applies network configuration and incentive - based payment models as appropriate to improve quality and efficiency.
• Partners with internal stakeholders to create a seamless experience for providers.
• Handles and resolves complex issues with occasional guidance.
• Uses good judgment, initiative, and problem-solving abilities.
• Travels requirement 85%.

Job Requirements:

Education/Skills

• High School Diploma Required.
• Bachelor's degree preferred.
• Experience with Microsoft Word, PowerPoint, and Excel required.

Experience

• 2-4 years of Customer-facing experience required.
• 1 year of provider-facing experience in healthcare field preferred.
• Presentation/training experience preferred.
• Experience with ACO, Risk-Based, Value-Based Contracting preferred.

Licenses, Registrations, or Certifications

• Driver's License required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

EEO is the law - click below for more information:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.