$155K - $175K/yr
Product Team - Provide medical policy support for manufacturer related contracts including, but not ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
$155K - $175K/yr
Product Team - Provide medical policy support for manufacturer related contracts including, but not ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Multi-State Government Relations Manager (Located in Southeast US Region - remote)
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Multi-State Government Relations Manager (Located in Southeast US Region - remote)
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Multi-State Government Relations Manager (Located in Southeast US Region - remote)
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Multi-State Government Relations Manager (Located in Southeast US Region - remote)
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
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Ozark, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Ozark, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Dothan, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Dothan, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Opelika, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Opelika, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Mobile, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Mobile, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Valley, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Valley, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Auburn, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Auburn, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
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Mccalla, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
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Mccalla, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Selma, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Selma, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Mobile, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Sales Representative (Remote)
Mobile, AL · Remote
InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
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InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
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InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Client Relations : Develop and sustain strong client relationships, delivering customized solutions.
Remote Provider Relations information
What are the main responsibilities of a remote provider relations specialist on a typical day?
As a Remote Provider Relations specialist, your primary duties usually involve establishing and maintaining relationships with healthcare providers, addressing their questions and concerns, and ensuring they are satisfied with network participation. You’ll regularly communicate via phone, email, and virtual meetings, coordinate credentialing or contract renewals, and resolve issues related to claims or billing. Collaboration with internal teams like credentialing, contracting, or customer service is also common, allowing for a team-oriented approach to provider support. This role requires proactive outreach, attention to detail, and the ability to manage multiple tasks simultaneously while working independently from a remote location.
What is a remote provider relations?
A Remote Provider Relations job involves managing relationships between healthcare providers and an organization, such as an insurance company or healthcare network, from a remote location. Responsibilities typically include onboarding new providers, addressing concerns, ensuring compliance with contracts, and facilitating communication between providers and the organization. This role requires strong communication, problem-solving, and organizational skills to maintain positive partnerships and efficient service delivery.
What are the key skills and qualifications needed to thrive in the remote provider relations position, and why are they important?
To thrive as a Remote Provider Relations specialist, you need strong interpersonal communication, negotiation skills, and a solid understanding of healthcare networks or insurance regulations, often supported by a relevant bachelor's degree. Familiarity with CRM software, provider management systems, and proficiency in virtual meeting platforms are often essential. Excellent problem-solving abilities, organizational skills, and a proactive attitude help professionals excel in building and maintaining provider partnerships remotely. These competencies ensure effective network development, prompt issue resolution, and sustained provider satisfaction in a virtual work environment.
What are the most commonly searched types of Provider Relations jobs in Alabama? The most popular types of Provider Relations jobs in Alabama are:
What are popular job titles related to Remote Provider Relations jobs in Alabama? For Remote Provider Relations jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Provider Relations jobs in Alabama look for? The top searched job categories for Remote Provider Relations jobs in Alabama are:
What cities in Alabama are hiring for Remote Provider Relations jobs? Cities in Alabama with the most Remote Provider Relations job openings:
$155K - $175K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 15 days ago
Job description
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs - ones that are injected or infused by a health care professional in a clinical setting - for nearly 100 million Americans. The Trade Client Strategy Director liaises with Synergie Participants and manages clinical policies to comply with manufacturer contracts, implements Trade strategies and initiatives, and collaborates with and supports Synergie's Client Relations team for Trade related inquiries. This includes medical and pharmacy drug policies, cross benefit management, and rebate qualification for manufacturer contracts. This position will establish and maintain cross functional partnerships with internal teams to drive the identification, development and successful execution of Synergie's rebate programs. This position will be the primary Trade point of contact for Synergie's Participant facing activities and will support clinical decision making at the Participant level to comply with manufacturer contracts.
Primary Job Functions
Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Partner with the following stakeholders:
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
Client Relations - Serve as Trade's primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade's leadership
Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Invoicing Team - Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
Product Team - Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs
Education, Experience, and Certification
Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
Knowledge, Skills, and Abilities
Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans
Experience with contract language and risk mitigation concepts
Travel Requirements: Up to 10% of the time.
Work is generally performed in a remote setting.
#LI-Remote
$155,000.00 - $175,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.