New

Provider Relations Representative - Hybrid

Sentara
life insurance, paid time off, sick time, tuition assistance, 401(k), 403(b), remote work
United States, Virginia, Norfolk
6015 Poplar Hall Drive (Show on map)
Jul 22, 2025
City/State Alexandria, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as a Provider Relations Representative. Position Status: Full-time, day shift Position Location: Must visit provider groups and meetings at least twice a month in designated area. The rest of the time - work from home. Hiring for Northern Virginia, Richmond, OR Hampton Roads area. Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM Overview Responsible for developing and maintaining positive relationships with providers. Duties include, but are not limited to; periodic on-site visits, conducting provider seminars, communicating administrative changes, and facilitating resolution of non-routine claim issues and other billing questions. Coordinates and conducts provider training and develops and distributes provider network materials. Acts as a liaison between internal departments of Sentara Health Plans and the provider community Education High school diploma or equivalent required Certification/Licensure No specific certification or licensure requirements Experience Healthcare experience - 3 years required Health insurance plans - 3 years required Experience with managing complex providers Preferred experience Medicare, Medicaid, and commercial insurance Benefits: Caring For Your Family and Your Career * Medical, Dental, Vision plans * Adoption, Fertility and Surrogacy Reimbursement up to $10,000 * Paid Time Off and Sick Leave * Paid Parental & Family Caregiver Leave * Emergency Backup Care * Long-Term, Short-Term Disability, and Critical Illness plans * Life Insurance * 401k/403B with Employer Match * Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education * Student Debt Pay Down - $10,000 * Reimbursement for certifications and free access to complete CEUs and professional development Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer* and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.