Managed Care Provider Relations Manager 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. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager 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. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Join a dedicated and collegial team of professionals as a full-time Urgent Care nurse practitioner for SEARHC and help provide vital care services to an underserved patient population in Klawock, Alaska. In this beautiful Alaskan community, you will provide comprehensive Urgent Care, Primary Care and even potentially some Emergency services at a facility that sees people from all across Prince of Wales Island. This position therefore plays a vital role in the overall health and wellbeing of the entire region. Since this role may involve providing some emergency care, candidates with emergency/trauma care experience are highly preferred. Join SEARHC and be part of a team-oriented and driven group of healthcare professionals working daily to change lives in Klawock, Alaska.
Where Youll Work
Alicia Roberts Medical Center is an ambulatory care outpatient clinic caring for communities across Prince of Wales Island, Alaska. Along with full-spectrum Primary Care, the medical center provides patients with Behavioral Health, telemedicine, tele-Psychiatry, Radiology, Womens Health, Emergency Medicine and other specialty services. By providing high quality and compassionate care, Alicia Roberts Medical Center has become a trusted and vital healthcare resource for patients throughout the southeast Alaska region.
Where Youll Live
On the picturesque west coast of Prince of Wales Island, Alaska, Klawock is a small, close-knit community bursting with natural beauty and recreational opportunities. Ideally situated on the Gulf of Alaska and surrounded by pristine forests, Klawock offers truly incredible outdoor adventures. Along with hiking, camping, biking and boating opportunities, it boasts some of the best salmon fishing in the world.
Who Youll Work For
The SouthEast Alaska Regional Health Consortium (SEARHC) is one of the oldest and largest Native-run, non-profit health organizations in the United States. Comprised of more than 60 clinics, offices and medical centers, this organization provides over 27 communities throughout southeast Alaska with access to robust care services. With an emphasis on respect, cultural identity, service, professionalism and compassion, SEARHC provides its patients with the best quality of care possible.
Equal Opportunity Employer including disability/veteran
Job ID Number: 24538