Provider Program Coordinator

About Health PartnersWe’re on South Australia’s side and have been for 85 years now. Our mission has been to bring about a better state of health by making it easier for South Australians to access the health care and support they need, while finding new ways to give back to the communities we call home. No matter where or how we grow, our focus will always be helping locals live in a better state of health.We’re proud to be a not-for-profit – and prouder still to be guided by doing what’s right for our members, our people, and the broader community too. As South Australia’s largest open Health Insurer providing cover to over 90,000 people, we are on our members side for the moments that matter.We are now seeking a Provider Program Coordinator to join our team at 0.8FTE, workdays negotiable.About the roleThe Provider Program Coordinator takes care of the administrative tasks for managing contracted allied health providers and makes sure services are delivered to members as per our guidelines and contracts. This involves working with our Provider Integrity team to help coordinate and deliver programs that support our members’ healthcare needs, while making sure they are getting the best value from their membership by building strong relationships with providers and keeping things on track with compliance.Key responsibilities:Coordinating Health Partners Physiotherapy scheme including assessing network coverage in line with approved measures, reviewing and responding to applications, performing market research and leading the recruitment process of suitable practices.Reviewing and updating Health Partners Physiotherapy contracts to ensure they support our business requirements and compliance obligations.Assisting Provider Integrity’s Claims Audit and Investigations staff to conduct routine audits of contracted physiotherapy practices.Reviewing and reporting on Heath Partners Physiotherapy scheme through benchmarking practices and market research.Champion and actively maintaining professional relationships with contracted physiotherapy practices to facilitate our business objectives.Ensuring business plan activities related to the Health Partners Physiotherapy Scheme are undertaken according to agreed schedule.Maintaining and providing reviews on the Health Partners Preferred Provider Dental and Podiatry Schemes guided by established management principals of the Health Partners Physiotherapy Scheme.Maintaining health fund system provider records and investigating any issues or incidents relating to claiming for contracted allied health services.Reviewing and updating procedure documentation and participating in business plan activities.About youTo be successful in the role you will have:A valid Driver’s Licence.Excellent communication skills and proactive problem-solving abilities.The ability to work independently without supervision through excellent time management and prioritisation.Experience in Health service administration and general Health Insurance knowledge.Working knowledge of the Privacy Act, the Medicare Benefit Scheme and the Pharmaceutical Benefit Schedule or a willingness to learn.Proficiency in using Adobe Acrobat as well as other related Microsoft Office tools.Advanced knowledge of Health Partners products and fund rules is an advantage!What’s on offer?Generous employee benefits including:Paid parental leaveAllowance on your private health insurance premiumDiscounted sunglassesFlexible and hybrid workingAccess to internal and external learningVolunteer days to work with our partner charitiesAccess to our Employee Assistance Program for you and your familyAccess to discounted gym memberships and wellbeing programs You must be an Australian citizen or permanent resident at the time of submitting your application, be able to provide two recent referees and hold a current satisfactory National Police Clearance (within 12 months) or be willing to obtain prior to commencement. Working with Health Partners means that you will be working with a diverse range of people who are committed to doing things Side by Side. Visit http://careers.healthpartners.com.au/ to find out more about life at Health Partners. Applications will be screened as they are received. Health Partners appreciates the time and effort it takes to prepare and submit your application with us which is why we are a Circle Back Initiative employer and are committed to reviewing and responding to every candidate.If this role isn’t quite right for you but you recognise how your skills, experience and energy can become part of our next success, check out our website for all current vacancies and where you can also register for our talent pool. AUD Adelaide 5000

Provider Program Coordinator

About Health Partners

We’re on South Australia’s side and have been for 85 years now. Our mission has been to bring about a better state of health by making it easier for South Australians to access the health care and support they need, while finding new ways to give back to the communities we call home. No matter where or how we grow, our focus will always be helping locals live in a better state of health.

We’re proud to be a not-for-profit – and prouder still to be guided by doing what’s right for our members, our people, and the broader community too. As South Australia’s largest open Health Insurer providing cover to over 90,000 people, we are on our members side for the moments that matter.

We are now seeking a Provider Program Coordinator to join our team at 0.8FTE, workdays negotiable.

About the role

The Provider Program Coordinator takes care of the administrative tasks for managing contracted allied health providers and makes sure services are delivered to members as per our guidelines and contracts. This involves working with our Provider Integrity team to help coordinate and deliver programs that support our members’ healthcare needs, while making sure they are getting the best value from their membership by building strong relationships with providers and keeping things on track with compliance.

Key responsibilities:

  • Coordinating Health Partners Physiotherapy scheme including assessing network coverage in line with approved measures, reviewing and responding to applications, performing market research and leading the recruitment process of suitable practices.
  • Reviewing and updating Health Partners Physiotherapy contracts to ensure they support our business requirements and compliance obligations.
  • Assisting Provider Integrity’s Claims Audit and Investigations staff to conduct routine audits of contracted physiotherapy practices.
  • Reviewing and reporting on Heath Partners Physiotherapy scheme through benchmarking practices and market research.
  • Champion and actively maintaining professional relationships with contracted physiotherapy practices to facilitate our business objectives.
  • Ensuring business plan activities related to the Health Partners Physiotherapy Scheme are undertaken according to agreed schedule.
  • Maintaining and providing reviews on the Health Partners Preferred Provider Dental and Podiatry Schemes guided by established management principals of the Health Partners Physiotherapy Scheme.
  • Maintaining health fund system provider records and investigating any issues or incidents relating to claiming for contracted allied health services.
  • Reviewing and updating procedure documentation and participating in business plan activities.

About you

To be successful in the role you will have:

  • A valid Driver’s Licence.
  • Excellent communication skills and proactive problem-solving abilities.
  • The ability to work independently without supervision through excellent time management and prioritisation.
  • Experience in Health service administration and general Health Insurance knowledge.
  • Working knowledge of the Privacy Act, the Medicare Benefit Scheme and the Pharmaceutical Benefit Schedule or a willingness to learn.
  • Proficiency in using Adobe Acrobat as well as other related Microsoft Office tools.
  • Advanced knowledge of Health Partners products and fund rules is an advantage!

What’s on offer?

Generous employee benefits including:

  • Paid parental leave
  • Allowance on your private health insurance premium
  • Discounted sunglasses
  • Flexible and hybrid working
  • Access to internal and external learning
  • Volunteer days to work with our partner charities
  • Access to our Employee Assistance Program for you and your family
  • Access to discounted gym memberships and wellbeing programs

 

You must be an Australian citizen or permanent resident at the time of submitting your application, be able to provide two recent referees and hold a current satisfactory National Police Clearance (within 12 months) or be willing to obtain prior to commencement. 

Working with Health Partners means that you will be working with a diverse range of people who are committed to doing things Side by Side. 

Visit http://careers.healthpartners.com.au/ to find out more about life at Health Partners. 

Applications will be screened as they are received. 

Health Partners appreciates the time and effort it takes to prepare and submit your application with us which is why we are a Circle Back Initiative employer and are committed to reviewing and responding to every candidate.

If this role isn’t quite right for you but you recognise how your skills, experience and energy can become part of our next success, check out our website for all current vacancies and where you can also register for our talent pool.

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