RESPONSIBILITIES
Working with Department management, evaluates, plans, develops and maintains HMO network of primary care physicians/groups including RHCs, FQHCs,PHOs, IPAs and/or multi-site primary care groups, specialist physicians (individuals and groups) and ancillary services providers for health plan services. Acts as a liaison to assigned providers to ensure that all of the groups are effectively informed and updated by the health plan as necessary. Demonstrates an ability to develop and manage the relationship with large and complex provider groups including IPAs and PHOs. Effectively manages individual providers requiring focused attention. Resolves complex issues effecting provider relations.
EDUCATION/EXPERIENCE
A Bachelor's degree in health care administration, business or a related area is required. Five years of progressively increasing responsibility and experience in managed care environment may be substituted for the Bachelor's degree. A minimum of three years of recent experience as a provider relations representative, member service representative or relevant claim experience is preferred.
LICENSURE
Valid Texas drivers' license and a reliable vehicle are required.
University Health is the only locally owned health system in San Antonio. For more than 100 years, University Health has been here to heal, improve health, train the next generation of medical professionals and ensure the people of San Antonio, Bexar County and South Texas have access to primary and advanced specialty care close to home.
Almost 11,000 employees and more than 1,200 physicians provide specialized services, including the region’s only Level I trauma center for both adults and children, and maternal and neonatal intensive care centers designated at the highest levels by the State of Texas.
As the region’s only academic health system, University Health is a hub of innovation and discovery, committed to delivering patient-centered, culturally competent, high-quality and compassionate care, based on a strong foundation of outcomes‐based research and innovative teaching.
Learn more at UniversityHealth.com. Follow us on Facebook, Instagram and X.
