LTSS Provider Representative - Remote

Overview

As an LTSS Provider Representative, you’ll be the primary connection between our health plan and the LTSS provider network, helping providers navigate processes and resolve operational challenges.

In Short

• Build and maintain strong relationships with HCBS and LTSS providers.
• Share program updates and training opportunities.
• Support providers in resolving claims and operational issues.
• Conduct site visits to assess readiness and ensure network adequacy.
• Partner with departments to recruit and retain LTSS providers.
• Lead or participate in provider education sessions.
• Monitor provider contract compliance and reimbursement policies.
• Assist with provider recruitment strategies.
• Provide data during contract negotiations.
• Represent the organization at provider seminars.

Requirements

• Bachelor’s degree preferred and at least 3 years of customer service experience.
• Strong skills in communication, organization, and accountability.

Benefits

• Opportunity to work with a supportive team.
• Engagement with a network of healthcare providers.
• Professional development through training sessions.
• Flexible work arrangements with remote options.
• Contribute to improving healthcare outcomes.