Partner Outcomes and Rel Spc

High School Diploma/GED required.
Bachelor degree preferred or relevant experience in lieu of degree.
Requires a minimum of 3 years’ experience in healthcare industry, including knowledge of healthcare delivery systems, medical terminology, reimbursement processes, and regulatory requirements.
Requires a minimum of 3 years’ experience in successfully collaborating with cross-functional teams to achieve improvements or relevant experience in lieu of 3 years’ experience.
Requires a minimum of 2 years’ of experience trouble shooting complex service inquiries.
Requires a minimum of 3 years’ demonstrated proficient experience working with external accounts, clients or provider partners.

Cultivate strong relationships with healthcare providers and payment arrangements by understanding their needs, addressing concerns, and providing support and guidance.
Deliver exceptional customer service by fostering positive relationships, promoting collaboration and ensuring delivery of high-quality services that ensures both provider and patient satisfaction and retention.
Create, build, and maintain positive, trusting, productive and mutually beneficial relationships with internal Horizon teams as well as external vendors and partners (for example, Braven Health) with strategic partnerships to support our joint goals.
Maintain a strong understanding of Horizon operations and processes, including contracting, provider data management, credentialing, claims, and service operations.
Performs activities that develop prospective relationships with providers by supporting and participating in the recruitment and maintenance of the provider network and improve access and network adequacy.

Preferred contracting knowledge.
Preferred prior Provider experience.
Preferred experience in health care cost data review and interpretation. Understanding of financial concepts related to health care provider reimbursement, such as fee schedules, billing and payment processes.