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Centene Corporation

Provider Relations Representative II

Centene Corporation - Honolulu, HI

Position Purpose: This position interacts with health care providers and their office staff via phone and email. This individual provides information to TRICARE providers with regards to TRICARE Program and specifically Provider Network Operations and serves as the key provider education mechanism. The Provider Relations Representative II coordinates and delivers required education and briefing activities with question/answer sessions in large and small group settings; coordinates and staffs information tables and booths at various events; and schedules and conducts on-site provider education to local physician offices (group or one-on-one settings) and facilities in support of market goals and initiatives. Demonstrates regular, reliable and predictable attendance. Answers phones and researches inquiries. Makes outbound calls and conducts surveys. Researches, documents and updates database. Provides telephonic provider education to new providers. Answers web/email inquiries and correspondence from providers. Performs other duties as assigned.Plans, schedules and conducts events supporting TRICARE Operations Manual (TOM)-required briefings and T3 customer service support requirements in the assigned market. Interacts with service members of all ranks, categories and pay grades.Works with MTF Commanders to create and modify customer support training program materials and briefing presentations to reflect specific MTF needs.Maintains event attendance records, compiles and submits required reports, and maintains appropriate educational and briefing materials to support required events.Interfaces, coordinates and maintains calendar and schedules of required events with military customers in the assigned Market.The Provider Relations Representative II keeps up-to-date on TRICARE program changes to ensure briefing content is current and complete. May perform job duties from various locations within the market area.May travel with short notice, for a short-term stay of one to four weeks to perform duties at an alternate work location.QualificationsEducation/Experience: High School Diploma or equivalent required. One to two years provider relations experience interacting and problem-solving with providers. One year TRICARE experience preferred. One year Call Center experience preferred Government Security/Clearance/Citizenship Requirements:This position requires US Citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 or higher security

11 days 18 hours ago

Centene Corporation


Provider Relations Representative II Centene Corporation - Honolulu, HI, United States


Location: Honolulu, HI

Company Profile:
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations