Provider Relations Advisor - EviCore - Hybrid

The Regional Provider Engagement Manager is a key member of the Provider Engagement team, supporting EviCore's solutions by working directly with the provider community and health plan partners across nine states: Arizona, New Mexico, Texas, California, Utah, Hawaii, Colorado, Alaska, and Nevada.

This position is responsible for training providers on EviCore's prior authorization processes, promoting process improvement, and supporting market readiness efforts.

The role includes managing provider relationships, delivering educational outreach, and collaborating across internal departments to optimize the provider experience and ensure seamless implementation of our solutions/programs.

The Manager will support various programs, including Cardiovascular, Gastroenterology, Laboratory Management, Medical Oncology, Musculoskeletal, Radiation Oncology, Radiology, and Sleep, among others.

The individual will serve as a subject matter expert and collaborate cross-functionally with teams such as Sales, Implementation, Program and Operations.

Duties and Responsibilities:


* Create and oversee market readiness strategy


* Collaborate with other departments to fulfill provider engagement duties that lead to a successful implementation


* Develop and lead in training sessions to providers, delivering effective verbal and written communications appropriate to the audience


* Conduct provider outreach activities as needed based on direction provided by our health plan partners, Client management team and other areas of the business


* Proactively identify and respond to issues and trends affecting multiple providers


* Lead and coordinate communication with providers, providing timely status of efforts to resolve escalated, complex, and sensitive provider issues in collaboration with other internal departments at EviCore


* Provide education to provider personnel to improve overall process efficiency that is patient-centric and educates providers on EviCore products and services


* Engage appropriate provider staff regarding eviCore initiatives to ensure optimal impact of overall project efforts and outcome


* Ensure knowledge of all solutions/programs across organization


* Facilitate meetings with provider groups that may include clinical discussion and follow-up to each meeting with applicable research and issue resolution


* Track and document all provider outreach interactions


* Assist with the development and management of policies and procedures relating to provider participation including management and production of online provider materials and production of provider newsletters


* Develop and manage relationships with providers, monitoring and reviewing key metrics and overall activity performance


* Generate and analyze reports to share with provider groups to deliver pertinent information to providers to assist with process efficiency


* Work with appropriate departments to develop ...