Provider Relations Representative

Hampton, VA
Jan 16, 2019
Feb 22, 2019
Full Time

Optima Health is recruiting for a Provider Relations Representative to service our provider network in the Hampton Roads and Richmond area.

The Provider Relations Representative is the primary point of contact to educate, support and partner with our valued health providers as a liaison for onboarding, training, and multiple services related to developing and maintaining our provider relationships.

The ideal candidate will be:

  • Experience with provider relations.
  • Experience in conducting provider trainings and orientations.
  • Ability to work with minimal supervision.
  • Excellent verbal and written communication skills.
  • Ability to handle a large volume of provider information.
  • Working knowledge of the healthcare industry.

Selected candidate must have a permanent residency in the state of Virginia. This position is based either in Hampton or Richmond offices.

Division Highlights:

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission "to improve health everyday." This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support --every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.

Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We’re setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

keywords: healthcare, educator, trainer, provider, insurance, managed care, network, claims, on-boarding, customer service

Equal Opportunity Employer


Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Optima Health and the provider community


Education Level
High School Grad or Equivalent

Required: Health Insurance Plans - 3 years, Healthcare - 3 years

Required: Microsoft Excel, Microsoft PowerPoint, Microsoft Word

Preferred: None, unless noted in the "Other" section below

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