Status: Full-time, permanent position (40 hours)
Standard work hours: 8am to 5pm EST, M-F
Location: The ideal candidate will be remote in Richmond, Virginia or the surrounding areas. The position is open to candidates across Virginia, with the option to work in a hybrid arrangement if preferred.
Job Description Summary:
Responsible for the development and oversight of network education and educational programs that assist in the success of a provider's achievement of health plan goals and health plan growth.
Responsible for developing programs that adhere to commitments and contractual requirements of the health plan, across all lines of business.
Making sure providers are effective in executing operational processes for Sentara Health Plans, themselves and the member(s) experience.
Demonstrate the effectiveness of the education and support programs, as reflective in provider and member satisfaction, compliance and retention of the participating network.
Seeks innovative ways to engage the provider community, both participating and non-participating, in training and educational platforms that make Sentara Health Plans easy to do business with.
Education:
Bachelor's degree in marketing, business, or healthcare related field REQUIRED with two years of provider education and/or provider relations experience.
In lieu of degree, six years of provider education and/or provider relations experience REQUIRED
Certification/Licensure:
None required
Experience:
Training- 2 years REQUIRED
Leadership- 2 years REQUIRED
Experience in creation of marketing/training materials preferred.
Healthcare and/or government programs experience preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-86332
#Indeed
#LI-PM1
Talroo – Health Plan
Managed Care, MCO, Health Plan, Healthcare, Remote, Virginia, Richmond, Hybrid, Network, Educator, Provider, Claims, Training, Leadership
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$69,742.40-$116,251.20. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.