Avesis
Provider Relations Representative II - Vision - Georgia
Avesis, New York, New York, United States
Join us for an exciting career with the leading provider of supplemental benefits!
Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
At Avesis, the Provider Relations Representative II plays a vital role in connecting our vision provider community with the resources, education, and support they need to thrive.
As a key member of our Provider Relations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way.
If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avesis’ mission of delivering high-quality, accessible vision care to our members, while also supporting and nurturing the growth of our provider community.
In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field.
Our chosen candidate must reside in the state of Georgia due to the travel component of this role.
Functional Competencies
Provide provider operations support, engaging and training to resolve issues.
Conduct provider outreach via in-person/video/phone or email, delivering training, orientation, and coaching.
Document all provider interactions and maintain clear, timely notes.
Maintain thorough and timely records for accountability.
Hold monthly and/or quarterly meetings with provider groups, documenting discussions, issues, and action items.
Own and manage relationships with assigned provider groups as primary point of contact.
Communicate and share provider claims and directory reporting internally and externally.
Complete provider orientation across all product lines via phone, email, in-person, or virtual.
Perform onsite facility reviews and quarterly face-to-face visits within assigned territory.
Collaborate with cross-functional teams to develop operational solutions for provider network projects.
Educate providers on state programs, policy, and compliance requirements.
Investigate and respond to complex provider contract inquiries and claim issues.
Attend work-related events and conferences representing the organization professionally.
Coach, mentor, and develop junior team members.
Core Competencies
Knowledge of health plan operations preferred.
Knowledge of provider/health plan contracts and agreements highly desired.
Intermediate proficiency in Microsoft Excel, databases, and office applications.
Experience with provider credentialing and contracting processes preferred.
Health insurance claims experience and data analysis skill preferred.
Behavioral Competencies
Collegiality: building strong, approachable relationships and mentoring.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues and ideas orally and in writing.
Member-focused: going above and beyond to make members feel seen and valued.
Detail-oriented: completing assignments with thoroughness and minimal oversight.
Flexible and responsive: managing new demands and changes.
Critical Thinking: troubleshooting complex issues, problem solving, multitasking.
Integrity & responsibility: ownership of actions and confidentiality when required.
Collaborative: representing own interests while seeking workable solutions.
Minimum Qualifications
High School Diploma or equivalent required.
Must reside in the state of Georgia.
2+ years of optometry or ophthalmology office experience required.
Comprehension of vision industry claim terminology.
A valid driver’s license with proof of auto insurance and ability to use own vehicle.
Travel up to 50% required.
Remote role with internet service of 50 Mbps download and 10 Mbps upload while hardwired.
Preferred Qualifications
Bachelor’s degree.
Previous provider relations experience.
Certified Ophthalmic Assistant, Certified Ophthalmic Technician, and Certified Ophthalmic Medical Technician.
Pay and Benefits Base pay within the range is determined by candidate’s skills, expertise, or experience. In the United States, the pay ranges for new hires are:
Zone A: $46,080.00–$76,800.00
Zone B: $50,220.00–$83,700.00
Zone C: $54,050.00–$90,080.00
FLSA Status: Salary/Exempt.
This role may also be eligible for benefits, bonuses, and commission.
We Offer
Meaningful and challenging work opportunities.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage with no wait period.
Life and disability insurance.
401(k) with company match.
Tuition assistance, paid parental leave, and backup family care.
Dynamic, modern work environments that promote collaboration and creativity.
Flexible time off, dress code, and work location policies.
Employee Resource Groups advocating for inclusion and diversity.
Social responsibility initiatives and community volunteerism.
How To Stay Safe Avsis is aware of fraudulent activity by individuals falsely representing themselves as Avsis recruiters. They may contact applicants with job offers, ask for purchases, or seek personal information. Avsis would never make such requests. All legitimate communications use verified email addresses ending in @Avsis.com.
If you suspect fraudulent activity, please contact ITsupport@Avesis.com.
To learn more about protecting yourself, visit https://consumer.ftc.gov/articles/how-avoid-scam. If you believe you were a victim, file a complaint at https://reportfraud.ftc.gov/#/. Avsis is not responsible for unaffiliated individuals’ fraudulent activity.
Equal Employment Opportunity At Avsis, we celebrate diversity and are an Equal Employment Opportunity employer that does not discriminate on the basis of ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or other characteristic. We believe in a workforce that represents a rich mixture of people to provide world-class experience for our clients. Come dare to be different at Avsis.
#J-18808-Ljbffr
Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
At Avesis, the Provider Relations Representative II plays a vital role in connecting our vision provider community with the resources, education, and support they need to thrive.
As a key member of our Provider Relations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way.
If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avesis’ mission of delivering high-quality, accessible vision care to our members, while also supporting and nurturing the growth of our provider community.
In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field.
Our chosen candidate must reside in the state of Georgia due to the travel component of this role.
Functional Competencies
Provide provider operations support, engaging and training to resolve issues.
Conduct provider outreach via in-person/video/phone or email, delivering training, orientation, and coaching.
Document all provider interactions and maintain clear, timely notes.
Maintain thorough and timely records for accountability.
Hold monthly and/or quarterly meetings with provider groups, documenting discussions, issues, and action items.
Own and manage relationships with assigned provider groups as primary point of contact.
Communicate and share provider claims and directory reporting internally and externally.
Complete provider orientation across all product lines via phone, email, in-person, or virtual.
Perform onsite facility reviews and quarterly face-to-face visits within assigned territory.
Collaborate with cross-functional teams to develop operational solutions for provider network projects.
Educate providers on state programs, policy, and compliance requirements.
Investigate and respond to complex provider contract inquiries and claim issues.
Attend work-related events and conferences representing the organization professionally.
Coach, mentor, and develop junior team members.
Core Competencies
Knowledge of health plan operations preferred.
Knowledge of provider/health plan contracts and agreements highly desired.
Intermediate proficiency in Microsoft Excel, databases, and office applications.
Experience with provider credentialing and contracting processes preferred.
Health insurance claims experience and data analysis skill preferred.
Behavioral Competencies
Collegiality: building strong, approachable relationships and mentoring.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues and ideas orally and in writing.
Member-focused: going above and beyond to make members feel seen and valued.
Detail-oriented: completing assignments with thoroughness and minimal oversight.
Flexible and responsive: managing new demands and changes.
Critical Thinking: troubleshooting complex issues, problem solving, multitasking.
Integrity & responsibility: ownership of actions and confidentiality when required.
Collaborative: representing own interests while seeking workable solutions.
Minimum Qualifications
High School Diploma or equivalent required.
Must reside in the state of Georgia.
2+ years of optometry or ophthalmology office experience required.
Comprehension of vision industry claim terminology.
A valid driver’s license with proof of auto insurance and ability to use own vehicle.
Travel up to 50% required.
Remote role with internet service of 50 Mbps download and 10 Mbps upload while hardwired.
Preferred Qualifications
Bachelor’s degree.
Previous provider relations experience.
Certified Ophthalmic Assistant, Certified Ophthalmic Technician, and Certified Ophthalmic Medical Technician.
Pay and Benefits Base pay within the range is determined by candidate’s skills, expertise, or experience. In the United States, the pay ranges for new hires are:
Zone A: $46,080.00–$76,800.00
Zone B: $50,220.00–$83,700.00
Zone C: $54,050.00–$90,080.00
FLSA Status: Salary/Exempt.
This role may also be eligible for benefits, bonuses, and commission.
We Offer
Meaningful and challenging work opportunities.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage with no wait period.
Life and disability insurance.
401(k) with company match.
Tuition assistance, paid parental leave, and backup family care.
Dynamic, modern work environments that promote collaboration and creativity.
Flexible time off, dress code, and work location policies.
Employee Resource Groups advocating for inclusion and diversity.
Social responsibility initiatives and community volunteerism.
How To Stay Safe Avsis is aware of fraudulent activity by individuals falsely representing themselves as Avsis recruiters. They may contact applicants with job offers, ask for purchases, or seek personal information. Avsis would never make such requests. All legitimate communications use verified email addresses ending in @Avsis.com.
If you suspect fraudulent activity, please contact ITsupport@Avesis.com.
To learn more about protecting yourself, visit https://consumer.ftc.gov/articles/how-avoid-scam. If you believe you were a victim, file a complaint at https://reportfraud.ftc.gov/#/. Avsis is not responsible for unaffiliated individuals’ fraudulent activity.
Equal Employment Opportunity At Avsis, we celebrate diversity and are an Equal Employment Opportunity employer that does not discriminate on the basis of ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or other characteristic. We believe in a workforce that represents a rich mixture of people to provide world-class experience for our clients. Come dare to be different at Avsis.
#J-18808-Ljbffr