Managed Care Provider Relations Manager
Also referred to as: Managed Care Provider Relations Manager
Requirements and Responsibilities
Develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. Typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
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Similar Jobs:  Public Relations Manager, Managed Care Marketing Manager, Labor Relations Manager, Employee Relations Manager, Managed Care Supervisor, Managed Care Coordinator, Provider Relations Representative, Managed Care Finance Director, Public Relations Specialist I
Level of Education:  Managed Care Provider Relations Manager Salaries with a Bachelor's Degree, Managed Care Provider Relations Manager Salaries with a Master's Degree or MBA, Managed Care Provider Relations Manager Salaries with a JD, MD, PhD or Equivalent
Categories:  Healthcare -- Administrative, Insurance
Industries:  Edu., Gov't. & Nonprofit, Healthcare,
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