Responsible for managing relationships with contracted providers to educate, advocate and engage as valuable partners with the Health Plan. This partnership contributes to a positive Children’s Medical Center Health Plan (CMCHP) brand experience and ongoing utilization for plan members. Resolves provider issues including those that may cross departmental lines and escalates to senior leadership as needed. Provides superior customer service and anticipates provider needs, both individually and collectively.
Essential Duties and Responsibilities
Specific knowledge, skills and abilities
of working at Children’s Health is the atmosphere of trust within my department. My professional judgment, ethical interaction and desire to work toward positive outcomes for my patients and those I work in conjunction with is not only fostered, it is demanded.