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Range Health is a healthcare organization focused on expanding access to high-quality, affordable health coverage and care in underserved markets. As part of a long-term growth strategy, Range Health is helping bring Medicare products and services to communities in Idaho and Montana, with opportunities for future expansion into additional markets and offerings.

We are seeking a Provider Relations Representative to act as a primary liaison between the organization and healthcare providers. In this independent role, you will maintain open communication regarding provider policies and payment procedures while training and education providers on our contact requirements and operational procedures.

Work Location: This position will be located in Montana

• Provider Relations Rep I: Experience: 4 years' provider service or health industry experience Education: High School or equivalent
• Provider Relations Rep II: Experience: 8 years' provider service or health industry experience Education: High School or equivalent

• Establish and maintain provider relationships for a new provider network in a new territory.
• Represent the company at association events and provide training education through provider meetings, presentations, webinars, virtual meetings and on-site visits.
• Coordinate the resolution of provider contracts, agreements, fee schedules, and payment problems.
• Collaborate with key stakeholders to identify and resolve issues.
• Coordinate resolution of contract or agreement issues.
• Communicate critical issues and provide recommendations to leaders.
• Educate providers on policies, procedures, practices, and data integrity.
• Coordinate cross departmental activities and projects to support and adhere to the provider contract requirements.
• Perform research to respond to inquiries and interpret policy and procedures to determine the most effective response.
• Provide welcome information to newly contracted providers and assist with on-boarding activities.
• Promote provider participation and utilization of on-line tools, provider resources and self – service programs.
• Perform other duties and responsibilities as assigned.

As of the date of this posting, a good faith estimate of the current pay range is $26.12 to 36.58 for a level I and $66,353 - $92,894 for a level II. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

• paid time off
• paid holidays
• community service and self-care days
• medical/dental/vision/pharmacy insurance
• 401(k) matching and non-contributory plan
• life insurance
• short and long term disability
• education reimbursement
• employee assistance plan (EAP)
• adoption assistance program
• paid family leave program

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Blue Cross of Idaho Health Service, Inc. is an independent licensee of the Blue Cross Blue Shield Association. For roles under Range Health, Ruby Analytics, or other non-licensed corporate entities: These services and products are managed or delivered by separate operating units or affiliates which are independent from, and not licensed by, the Blue Cross Blue Shield Association.

Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer‑centric professionals.

Your Health and Wellness Matters At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced. Your Career Development Matters We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development. Your Community Matters Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering.

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