Representative, Physician Hospital Organization and Managed Care

Description

JOB SUMMARY

Responsible for independently facilitating the efficient operation of the PHO and Managed Care department. Provides all administrative tasks within the Phoebe Health Partners (PHP) Physician Hospital Organization (PHO) and Managed Care department for the VP of Managed Care / Executive Director, Director of Operations, Credentialing, Provider Relations, and all other positions. Assists with marketing activities for Phoebe Health Partners in order to add covered lives and successfully renew existing clients. All activities will be performed in support of the strategy, vision, and values of Phoebe. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. All activities must bein compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations, as appropriate.

GENERAL REQUIREMENTS

Adheres to the hospital and departmental attendance and punctuality guidelines
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Performs other duties as required and completes all job functions as per departmental policies and procedures
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
Must possess and maintain a valid Georgia Driver's License.

WORKING CONDITIONS

General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be required to change from one task to another of different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime

Qualifications

EDUCATION REQUIREMENTS

EXPERIENCE REQUIREMENTS

2 - 3 years Healthcare industry, managed care, or related sales, customer service or executive level administrative position experience (required)

CERTIFICATIONS AND LICENSURES

GENERAL SKILLS

PHYSICAL REQUIREMENTS

Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors

PHYSICAL DEMANDS