Provider Engagement Specialist

Who We Are

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.

When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.

Why join our team at Lucet?

We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply!

Benefits

We are looking for top-tier skills and experience in our remote-work environment and that’s because we offer top-tier compensation and benefits, which include:

• The starting salary that Lucet reasonably expects to pay for this position ranges from $50,000 - $60,000 annually, PLUS an annual performance-based, discretionary . Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
• Full Health Benefits – Medical, Dental, and Vision
• 401(k) with competitive employer match
• Company paid life and disability insurance, wellbeing incentives, and parental leave
• Professional development opportunities and tuition reimbursement
• Paid time off including paid time off for volunteering
• Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
  
  

What You Will Do - Essential Functions

The Provider Engagement Specialist is responsible for developing provider networks, researching network provider needs, and supporting case specific initiatives. This position supports special initiatives and is the primary point of contact for provider issue resolution.

• Provider Relationship Management: Responsible for being the primary point of contact for provider issue resolution, with a particular focus on claims-related concerns.
• Provider Data Management: Research and work through escalated identified provider data issues.
• Provider Training and Education: Develop and deliver provider orientation training to include curriculum development and maintenance, provider manual support, provider engagement, and conducting training through various forums including face-to-face and web-based.
• Cross-Functional Collaboration: Partner with internal and plan-based functional areas such as Clinical and Quality in order to coordinate team activities, schedule meetings with providers, identify and achieve milestones, and track progress.
  
  

Who You Are

• Required Qualifications
• High school diploma or equivalent and 5 years of experience in health care environment, with understanding of provider contracting and claims
• 3+ years working in a professional, corporate, or healthcare office environment with experience performing claims research, negotiating contracts, supporting billing practices, etc.
• Proficient in computer software such as Word and Excel
• Excellent demonstrated verbal and written communication skills both with internal and external teams
• Proficiency in the use of MS Office Suite and scheduling tools
• Must be flexible and able to manage multiple priorities and meet deadlines
• Focused and detail oriented
• Must be available for occasional travel
• Someone who embodies our values by:
• Serving everyone with compassion and leading with empathy.
• Stepping up and creating value by taking charge and acting when there is an opportunity.
• Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
• Nurturing growth and belonging by respecting and celebrating everyone for who they are.
• Competencies
• Excellent verbal and written communication skills
• Well organized, conscientious, and demonstrated team player
• Experience with Microsoft to include Word, Excel and Outlook
• Ability to focus and desire to achieve time sensitive goals
• Willingness to learn about new industry trends
• Ability to balance simultaneous priorities
• Ability to achieve time sensitive goals
• Well organized, conscientious, and demonstrated team player
• Working Conditions:
• Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
• A quiet workspace with minimal background noise for calls.
• High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting).
  

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.