Responsibilities

　　The Senior Provider Relations Liaison is responsible for establishing and maintaining strong positive business relationships with current and potential Kelsey-Seybold and KelseyCare Advantage affiliate and employed providers to ensure stable and geographically disperse networks for the Kelsey-Seybold commercial and Medicare Advantage health plans and KS Plan Administrators’ health plan products. Responsibilities include providing educational instruction and support to physicians and their staff. The Senior Provider Relations Liaison will be the main point of contact for the respective providers and will routinely visit physician’s offices for issues concerning the achievement of quality outcomes, provider satisfaction, medical cost targets, network growth and/or efficiency targets. This role includes responsibility for education of the physicians and office staff on health plan products and benefits, policy and procedure for multiple managed care plans, assistance with claims payments and other duties as assigned. Travel requirements – local and extensive.

　　Job Title: Sr. Provider Relations Liaison - Network Development

　　Clinic Location: Pearland Administrative Office - This position is on-site.

　　Department: Network Development

　　Job Type: Full Time

　　Salary Range: $70,204 - $86,731 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

　　Qualifications

　　Education

　　Required: Bachelor’s Degree (1-year experience equivalent to 1 year of college)

　　Preferred: 5+ years’ experience in applicable healthcare administrative operations.

　　Experience

　　Required: 5+ years of professional level experience in clinic or healthcare operations.

　　Must possess a knowledge of claims processing, clinic operations, managed care plan benefits and utilization management policies and procedures.

　　Preferred: Ability to interpret provider contracts and regulatory contracts.

　　3+ years of experience in Medicare/Commercial products

　　Experience with the development of provider relations and/or clinical networks.

　　License(s)

　　Required: Valid Texas Driver’s License and ability to travel. Must own or lease a working vehicle and be able to travel daily within the Greater Houston area.

　　Preferred: N/A

　　Special Skills

　　Required: Demonstrated ability to perform network development and/or provider relations.

　　Demonstrated knowledge of CPT and ICD-10 coding and prior experience with reimbursement methodologies.

　　Proficient with Microsoft Word and Excel

　　Analytical and problem-solving skills; ability to communicate effectively in writing and verbally.

　　Preferred: Proficient with Excel and/or PowerPoint

　　Excellent communication and relationship development skills with multiple different types of stakeholders. Outcomes driven.

　　Other

　　Required: Ability to work in a fast-paced environment; demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines.

　　Demonstrated public speaking and presentation skills.

　　Preferred: Capable of managing a variety of complex issues while driving momentum of key projects

　　Working Environment: Office

　　About Us

　　Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

　　Why Kelsey-Seybold Clinic?

　　Medical, Vision, and Dental

　　Tuition Reimbursement

　　Company Matching 401K

　　Employee Reward and Recognition Program

　　Paid time off for vacation, sick, and holidays

　　Employee Assistance Program

　　Continuing Medical Education allowance

　　Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.