Managed Care Provider Relations Manager jobs in Clovis, NM

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)

H
Provider Advocate Technician
  • Health Care Service Corporation
  • Amarillo, TX FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    Under supervision, this position is responsible for call intake from network dental providers to respond to questions and resolve concerns regarding incoming provider inquiries such as contract, credentialing status and fee schedules to ensure provider satisfaction and resolution of questions. Handling the identification and correction of Provider data issues. Supporting the Provider Administration functions in order to maintain compliance with established procedures and quality standards.

    Job Qualifications

    * High school diploma or GED.

    * 6 months customer service experience OR 6 months experience in office environment

    * Knowledge of dental benefits, contracts and all lines of dental business preferred

    * Ability to spend up to 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.

    * Experience prioritizing tasks and workflow.

    * Experience working well under pressure and meet deadlines.

    * Organizational skills.

    * Must be dependable and a team player.

    * Decision -making skills and demonstrated attention to detail.

    * Clear and concise verbal and written communication skills.

    * PC proficiency in Word and Excel.

    THIS IS A FLEX ROLE WORKING a minimum of 3 DAYS IN THE OFFICE

    We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.

    #LI-HYBRID

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

     

  • 11 Days Ago

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Established Care Provider
  • Dallam Hartley Counties Hospital District
  • Dalhart, TX FULL_TIME
  • Dallam Hartley Counties Hospital District is currently seeking an experienced Nurse Practitioner or Physician Assistant to join our team. Under the supervision of a physician, the Advanced Practice Pr...
  • 8 Days Ago

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Home Care Provider with Weekly Pay
  • Cornerstone Caregiving
  • Perryton, TX FULL_TIME,PART_TIME
  • Cornerstone Caregiving is committed to providing exceptional care to individuals in need. Our caregivers are highly trained and compassionate, with a passion for making a positive impact in the lives ...
  • 8 Days Ago

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Provider
  • BrightSpring Health Services
  • Amarillo, TX FULL_TIME
  • HOST HOME PROVIDER Job Locations US-TX-AMARILLO 2023-122857 Line of Business ResCare Community Living Position Type Part-Time Our Company ResCare Community Living Overview A Host Home provider is an i...
  • 25 Days Ago

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Field Case Manager RN
  • Nuclear Care Partners
  • Amarillo, TX PART_TIME
  • Overview FIELD CASE MANAGER (RN) Part Time COMPENSATION: This position comes with a very competitive pay plan. We look at market rates, location, and experience before determining compensation. SHIFTS...
  • 22 Days Ago

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Assistant Manager for Assisted Living
  • Good Life Senior Living and Memory Care
  • Amarillo, TX FULL_TIME
  • Good Life Senior Living has an immediate opening for an Assistant Manager to help run our Assisted Living and Memory Care Home. We are seeking a mature, compassionate, caring person who enjoys being a...
  • 7 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Clovis, NM area

Clovis is the county seat of Curry County, New Mexico, United States, with a population of 37,775 as of the 2010 census, and a 2014 estimated population of 39,860. Clovis is located in the New Mexico portion of the Llano Estacado, in the eastern part of the state. A largely agricultural community, closely bordering Texas, it is noted for its role in early rock music history and for nearby Cannon Air Force Base. After the discovery of several "Clovis culture" sites in eastern North America in the 1930s, the Clovis people came to be regarded as the first human inhabitants who created a widesprea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$90,667 to $130,793
Clovis, New Mexico area prices
were up 1.2% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019