Provider Relations Specialist

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Karna, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🤝 Non-profit

🏛️ Government

Healthcare Insurance • Non-profit • Government

Karna, LLC is a public health consulting company that provides high-impact solutions to government, non-profit, and commercial organizations in the areas of science, research, technology, communications, and evaluation. As a member of the Celerian Group, a Blue Cross Blue Shield of South Carolina company, Karna leverages the capabilities of its sister companies to deliver tailored public health and clinical healthcare solutions. The company specializes in population health applications, health analytics, health communication, and public health research and support. Karna's expertise addresses complex issues in public health, such as mental health disparities, diversity, equity, and inclusion programs, and health outcomes evaluation. Their services include technical assistance, third-party administration, and training to improve strategic health goals across various sectors.

📋 Description

• Responsible for maintaining and improving existing provider relationships through communication, support, analysis, problem solving, and education • Works directly with providers to ensure they are educated on all policies and procedures in a professional manner • Collaborates with stakeholders to meet existing and newly identified needs • Maintains a comprehensive provider contact database • Builds relationships with Clinical Centers of Excellence for support • Assists with incoming inquiries and addresses provider grievances • Supports the secure exchange and management of provider enrollment documentation • Assists with ensuring providers are compliant with program requirements • Provides education and guidance to providers on required metrics and programs • Takes ownership of provider’s recruitment, enrollment, and participation experience • Ensures provider records are updated timely and accurately

🎯 Requirements

• BA/BS preferred, equivalent experience in lieu of degree • 2-5 years’ experience in healthcare, particularly provider support or education • Experience working with multiple system applications in an end-user capacity • Experience developing communication materials for professional audiences • Advanced analysis and problem-solving skills • Excellent written and verbal communication skills