Senior Provider Relations Advocate Cover Letter

I am excited to be applying for the position of senior provider relations advocate. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for direction to RA Team in assisting Provider Groups in understanding the CMS-HCC Risk Adjustment as it relates to payment methodology through their claims/encounter submissions and the importance of proper chart documentation of procedures and diagnoses coding.

My experience is an excellent fit for the list of requirements in this job:

• Experience with providers in this region
• Provider Relations experience at the facility level
• Strong strategic and business acumen in health care delivery systems
• Advanced level of proficiency with MS Word, Excel, PowerPoint and Access
• Experience with value-based programs and pay for performance
• Commitment to high-quality results through the use of time, resources and effort
• Be resourceful and creative in solving problems that don’t have clear solutions or outcomes
• Texas or Florida Resident

In response to your job posting for senior provider relations advocate, I am including this letter and my resume for your review.

In my previous role, I was responsible for expertise to the Medical Director and the DES Credentialing Committee regarding the CE Provider Network and CE provider related issues.

Please consider my qualifications and experience:

• Engage with local provider organizations to support, augment and accelerate efforts to improve operational coordination of patient care
• Analyze outcomes and make appropriate recommendations to improve outcomes / processes moving forward
• Build and sustain positive provider relationships
• Manage provider relationships that require frequent contact
• Create and present PowerPoint provider education decks
• Work with internal departments to provide contract interpretation and ensure proper understanding of and implementation of contract terms including pricing
• Accountable for execution of provider training and education programs
• Recommend improvements in processes

I am excited to be applying for the position of senior provider relations advocate. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for guidance to RA Team in assisting Provider Groups in understanding Medicare Stars quality and incentive programs utilizing analytics and identifies and target providers.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Resident of Mississippi, Alabama, Tennessee, Louisiana, Arkansas
• Comfortable making presentations on a variety of topics
• Intermediate or higher level of proficiency in claims processing and issue resolution
• Intermediate or higher level of proficiency with MS Word, Excel, PowerPoint, and Access
• General knowledge of HEDIS
• General knowledge of Medicare Risk Adjustment
• Facility contract knowledge
• Work with designated health plan representatives

I would like to submit my application for the senior provider relations advocate opening. Please accept this letter and the attached resume.

In the previous role, I was responsible for effective operations management, ensuring that all contracts are within required guidelines and financial parameters, and maintain current provider data within payment systems.

Please consider my qualifications and experience:

• Contribute to design and implementation of programs that build/nurture positive relationships between the acquisition providers and internal departments to be able to gather necessary data in a timely manner
• Partner and host presentations and training to large and small groups of clinicians, practice managers and certified coders developing training to fit specific provider's needs
• Coach, provide feedback and guide othersAssist in efforts to enhance ease of use of physician portal and future services enhancements
• Manage the relationship with a large Payor in MN
• Establish and maintain strong business relationships with internal teams, providers, community partners, and Payors
• Lead in the development, recruitment, and maintenance of Preferred Provider Networks (PPN) for large commercial Clients
• Utilize data management and analytical skills to create and maintain program status reports that demonstrate access performance
• Utilize problem solving skills to solve for access gaps and/or errors in provider data

I submit this application to express my sincere interest in the senior provider relations advocate position.

In the previous role, I was responsible for monthly reports to the Manager, Provider Relations on all provider account profiles & a report that aggregates the metrics for all assigned providers i.e., the assigned provider portfolio.

Please consider my experience and qualifications for this position:

• Finalize recruitment and contracting effort in order to fulfill credentialing requirements
• Provide assistance regarding provider education, contract questions, and claim issues
• Collect and ensure the quality and integrity of data in the provider data systems
• Performs audits of accounts that can be used for internal and/or external discussions
• Monitor and track provider issues through calls, emails, and other avenues
• Other duties as assigned in support of department goals and objectives
• Understanding of confidentiality and guide what is on a need to know basis only
• Fully understand and identify legal and financial items needed and work within the department to prioritize those critical items