Independence Blue Cross, LLC
Cranbury, NJ
The Provider Partnership Associate (PPA) will cultivate and maintain relationships with and provide service to institutional and/or professional providers. Institutional providers include all hospitals, hospital systems, and ancillaries. Professional providers include primary care physicians, specialist physicians and all other credentialed health care professionals. Either an institutional or professional provider may also include the understanding and maintenance of alternative payment arrangements, such as ACOs. Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. The PPA will be proactive in providing comprehensive education on new products and networks, instruction on clinical initiatives (ACOs, etc.) and other quality programs, and resolution on matters involving claims and/or payments. MAJOR ACTIVITIES: 1. Performs research and analysis of all provider issues received both...