Sr. Provider Services Rep

Sr. Provider Services

One of the 50 Best Companies to Work for in Texas!

AMERIGROUP Corporation, headquartered in Virginia Beach, Virginia, is a multi-state managed health care company focused on serving people who receive health care benefits through publicly sponsored programs including Medicaid, State Children's Health Insurance Program, and FamilyCare. The Company operates in Texas, New Jersey, New York, Maryland, Illinois, Florida, Georgia, Ohio, Virginia, and the District of Columbia.

We are a leader in the health care industry and are consistently rated high in member and provider satisfaction. We are currently looking for talented individuals to join our team in our Arlington, Texas office. We invite you to consider working for a company that cares for our associates and the people we serve. Share our commitment to providing quality health care coverage for moms, kids, and individuals with special needs.

Our Sr. Provider Services Rep manages the Ancillary and Behavioral Health network. Responsibilities will include developing and implementing strategic initiatives, negotiating new contracts, ensuring that existing providers are appropriately contracted and configured, developing and implementing a training program for providers, and ensuring other AMERIGROUP associates are trained to serve the network.
REQUIREMENTS
Along with a Bachelor’s degree in business or healthcare, the successful candidate should have:
- Three to five years experience in a managed healthcare environment, provider relations or network management; experience with Medicaid preferred.
- Demonstrated proficiency with MS Office, Word, & Excel
- Claims experience/knowledge of medical coding

Must also be a self starter with a demonstrated history of:
- Knowledge of provider compensation and capitation issues’
- Familiarity with provider organizational arrangements; IPA, PHO, Group Practice, etc.,
- Above average negotiation skills,
- Excellent communications and presentations skills,
- Strong analytical abilities,
- Ability to complete multiple projects and to meet deadlines,
- Appreciation of cultural diversity and sensitivity towards target population.

Along with a great work environment, AMERIGROUP offers a competitive salary and benefits package.

For consideration please apply forward your resume and salary requirements to: [Click here for email]

AMERIGROUP Corporation is an Equal Opportunity Employer.