Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. 

Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We serve 9.1 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. 

Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health.

Apply Online at: https://kp.taleo.net/careersection/external/jobdetail.ftl?job=472985

The Provider Experience Account Manager develops, manages and sustains relationships between KP-MAS (Health Plan and MAPMG) and a select group of assigned providers to ensure
satisfaction, problem resolution and personal attention. The primary interaction will be with external facilities and physicians but could also involve management and frontline Health Care workers. Plan, develop and execute provider satisfaction strategies.

Essential Responsibilities:

· Responsible for the provider experience for a select group of providers once the contract is
executed.

· Develops strategic relationships with select providers.

· Monitors provider contracts to ensure contract commitments are met.

 · Acts as a Liaison between the provider and claims processing units.

· Understands and provides input to KP-MAS strategies as it relates to network development.

· Develops and manages provider projects, including defining deliverables and key milestones.

· Assists in the development of provider satisfaction success measures.

· Identifies needed resources for provider issues; assists in defining and assigning major project
roles.

· Identifies barriers/constraints/risks to providers and provides recommendations to
mitigate.

· Excellent ability to work effectively and creatively within the organization to resolve problems.

· Participates in Joint Operating Committees.

· Participates in both clinical and operational meetings as needed.

  Facilitates improvement efforts, and develops implementation recommendations.

· Facilitates collaboration with diverse groups and individuals to influence provider
strategic planning and execution.

· Develops, maintains and effectively manages internal relationships at all levels across the
organization.

· Acts as primary contact for external providers and their office staff.

· Identifies provider trends, conducts market intelligence to understand key issues and reports to
leadership.

· Other duties as assigned.

Basic Qualifications:

Experience

· Minimum of five (5) years of health care experience with at least three of those years in one of
the following areas: provider relations, account management, operations management, contract design/negotiation, or claims.

Education

· Bachelor's degree or four (4) years of directly related experience required.

· High School Diploma or General Education Development (GED).

License, Certification, Registration

· N/A

Additional Requirements:

· Exceptional oral and written communication skills

· Excellent presentation skills

· Exceptional influencing and partnering skills at all organizational levels required

· In-depth knowledge of health care issues and a variety of facility, hospital, or physician office
procedures, concepts and practices

· Strong knowledge of health care industry and financing mechanisms

· Strong knowledge of claim processing, adjudication and payment methodologies

· Strong knowledge of various coding and claims processing systems and approaches.

Preferred Qualifications:

· Master's degree.

Apply Online at: https://kp.taleo.net/careersection/external/jobdetail.ftl?job=512446

All your information will be kept confidential according to EEO guidelines.