Title: Provider Relations Specialist
Waterbury, VT, US
Overview
The Department of Vermont Health Access (DVHA) is seeking a motivated, self-starting individual with strong interpersonal and writing skills to join our service-driven Member and Provider Services Unit.
Have the work/life balance you need with a Monday-Friday schedule and a supportive hybrid work environment. Eleven paid state holidays, in addition to a robust benefits package.
The Provider Relations Specialist position has the following responsibilities:
· Analytical and administrative work for the Member and Provider Services team.
· Interaction with contracted Vermont Medicaid network providers and members to assist with the resolution of escalated matters.
· Works closely with policy and clinical staff, other departments, contractors, and stakeholders to assist with implementing federal and state rules and policies of the Vermont Medicaid program.
· Assists with communication, both written and oral, to the provider community of new, existing, and changing policy standards and requirements.
· Understanding of the federal rule regarding the Medicaid provider enrollment screening process requirements. Specifically, accurately assess the site visit requirements for categorically at-risk providers. In-state travel will be necessary at times.
· Other duties as assigned unit manager.
The provider Relations Specialist position requires the following skills:
· Strong computer skills.
· Strong interpersonal skills.
· Strong writing skills.
Mission:
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
Diversity, Equity, and Inclusion:
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.
Our State:
Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.
Telework:
The Department of Vermont Health Access (DVHA) supports a hybrid work environment. Upon hire, employees work with their supervisor to create a schedule that aligns with the business needs of the unit. We believe a hybrid work environment promotes autonomy and allows for increased flexibility and greater work/life balance.
Who May Apply
This position, Provider Relations Specialist (Job Requisition #51723), is open to all State employees and external applicants.
If you would like more information about this position, please contact deidra.jarvis@vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
Environmental Factors
Duties are performed largely in an office setting although some field travel may be necessary, for which private means of transportation must be available.
Minimum Qualifications
Bachelor's degree AND three (3) years or more of work experience that includes: (a) outreach, recruitment or marketing for a program or service; (b) facilitation of healthcare services such as obtaining medical documentation or referring clients for care; and (c) interpretation, application, and explanation of complex policies or regulations.
Associate's degree OR completion of two (2) years of college and five (5) years or more of work experience that includes: (a) outreach, recruitment or marketing for a program or service; (b) facilitation of healthcare services such as obtaining medical documentation or referring clients for care; and (c) interpretation, application, and explanation of complex policies or regulations.
Preferred Qualifications
Experience working with the medical community
Experience giving presentations, electronically and in person
Experience managing multi-faceted projects
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium and a dental plan at no cost for employees and their families
- Work/Life balance: 11 paid holidays each year and a generous leave plan
- State Paid Family and Medical Leave Insurance (FMLI)
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Tuition Reimbursement
- Flexible spending healthcare and childcare reimbursement accounts
- Low cost group life insurance
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer