Logo for VNS Health

Provider Relations Representative – Upstate New York (Including the Southern Tier)

Role overview

Qualifications

  • Bachelor's Degree in Business or equivalent related work experience, preferably in health care setting required
  • Minimum one year of health care experience required
  • Prior experience in Provider Relations and contracting preferred
  • Knowledge of government programs, including Medicare and Medicaid preferred

Responsibilities

  • Assists with creating provider contracts and contract amendments, including recruitment, contracting, credentialing, recredentialing and relationship maintenance through regular visits and ongoing contact with existing and potential providers.
  • Prepares materials for providers and assists with understanding contract terms, program requirements, and service coordination.
  • Supports positive provider relationships by regular on-site and/or virtual visits, communicating administrative and programmatic changes, and facilitating education and resolution of provider issues.
  • Updates and maintains provider manuals with current Health Plan policies and procedures.

Key facts

Other skills

  • Communication
  • Relationship Management
  • Teamwork
  • Organizational Skills

About the company

VNS Health logo

VNS Health

Hospitals & Health Care

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 125 years, our commitment to health and well-being is what drives us—we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of those we serve in New York and beyond. VNS Health does not ask prospective employees for any form of payment or money transfer as part of its job application or onboarding process. VNS Health does not ask prospective employees for information relating to individual financial assets, credit cards, personal passwords and VNS Health does not require prospective employees to purchase equipment or software.

Company details

IndustryHospitals & Health Care
Company size10001

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Overview: Plays a key role in supporting our VNS Health Upstate Network. Assists with building relationships with providers, assisting with operational tasks (such as credentialing and claims), and coordinating the implementation of performance improvement strategies. Works closely with existing and potential providers to ensure their satisfaction. This position operates under general supervision. Responsibilities:

What We Provide

  • Referral bonus opportunities     
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays   
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability    
  • Employer-matched retirement saving funds   
  • Personal and financial wellness programs    
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care     
  • Generous tuition reimbursement for qualifying degrees   
  • Opportunities for professional growth and career advancement    
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities 

 

What You Will Do:

 

Location / Territory

  • This is a remote position supporting providers across Upstate New York, including the Southern Tier.

  • We're seeking someone based in the Greater Rochester/Finger Lakes region or within reasonable proximity to the territory.

  • The role is home-based with occasional travel to provider offices and meetings, including some longer-distance drives.

Responsibilities

  • Assists with creating provider contracts and contract amendments, including recruitment, contracting (Negotiates contractual terms, services and rates of reimbursement), credentialing, recredentialing and relationship maintenance through regular visits and ongoing contact with existing and potential providers.

  • Prepares materials for providers and assist with understanding contract terms, program requirements, and service coordination.

  • Supports the positive provider relationships with provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.

  • Coordinates provider site visits.

  • Coordinates meetings to serve as a resource and addresses provider issues.

  • Updates and maintains provider manuals with current Health Plan policies and procedures. Updates and proofs provider directories.

  • Participates in special projects and performs other duties as assigned.

Qualifications: Education:
Bachelor's Degree in Business or equivalent related work experience, preferably in health care setting required

Work Experience:
Minimum one year of health care experience requiredPrior experience in Provider Relations and contracting preferredKnowledge of government programs, including Medicare and Medicaid preferred

Pay Range: USD $66,300.00 - USD $79,800.00 /Yr.

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Related jobs

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.