Provider Member Liaison Coordinator (Remote U.S.)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Provider Member Liaison Coordinator (Remote U.S.) to join our growing team.

Job Summary:

This role is crucial for educating providers on the Acentra Health prior authorization system and supporting compliance with state policies.

The selected individual for this role:

• Will interact with providers through multiple communication channels, delivering training on the system and guiding them through key submission policies. Leading training sessions and providing technical assistance are central responsibilities.
• Work closely with the Program Director and/or Operations Manager to facilitate stakeholder meetings and collect feedback from providers on their satisfaction.

Responsibilities:

• Comprehensive knowledge of the Acentra Health prior authorization system and benefit specific guidelines for all services on the Utilization Management contract.
• Provide training and ongoing technical assistance for new/existing providers.
• Conduct in-person training sessions, ensuring clear communication of system processes, policies, and best practices.
• Develop educational training content, resources, and user guides for key stakeholders.
• Collaborate with the Program Director and/or Clinical Manager to organize stakeholder meetings.
• Coordinate provider satisfaction surveys.
• Manage provider shared emails.
• Evaluate provider quality trends and provide actionable insights to improve performance.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Required Qualifications/Experience:

• Associate or a bachelor's degree.
• 1+ years of experience working on a utilization management team.
• 5+ years of direct nursing experience in a medical and/or psychiatric clinical setting OR 3+ years of experience working in Provider Relations.
• 1+ years of experience providing training and ongoing technical assistance.
• Excellent verbal and written communication skills.
• Proactive and self-motivated: Ability to identify opportunities, solve problems independently, and drive projects forward with minimal supervision.
• Problem-solving mindset: Anticipate challenges and take action to address them before they escalate.
• Ability to travel 10-15% annually to conduct engaging Provider Education.
• Must have reliable transportation and a clean Motor Vehicle Record (MVR) to be able to conduct Provider Education.
• Proficient in navigating multiple systems with the ability to switch between systems seamlessly and effectively.
• Strong working knowledge of essential software tools such as Microsoft Office Suite.
• Provide actionable insights: Share trend analyses and insights with the team and stakeholders, recommending adjustments to improve provider's performance and satisfaction.

Preferred Qualifications/Experience:

• Master's degree.
• An active, unrestricted Registered Nurse (RN), or Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) for the State of Indiana or any compact state.
• Must demonstrate proficiency in reviewing and analyzing documentation against established standards.
• Show familiarity with adult learning principles.
• Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues.
• Strong teamwork and collaboration abilities.
• Adaptability and flexibility in a dynamic work environment.
• Efficient time management, including the ability to prioritize tasks, and meet deadlines.

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Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."