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)
CASE MANAGER / CARE COORDINATOR - NEEDED ASAP
Excellent Opportunity at a Growing Company!
Bring your authorizations, insurance or benefits investigation, care coordinator, pre-certification and/or insurance skills to an innovative, team-oriented, healthcare hub services company! Join our friendly and supportive team and make a positive difference! Seeking people with excellent experience in/with pharmacy, health insurance, hubs, medical billing, and/or medical doctor’s offices as we continue to grow!
Qualifications:
Direct hire, full-time, onsite opportunity at our corporate headquarters in Maitland, FL.
We care about the safety and well-being of our team. We are mindful of safety precautions, following local government and CDC guidelines. Our office has plenty of space and sizable cubicles with room to grow!
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
CASE MANAGER
Essential Functions:
Hours:
Monday-Friday, commonly needed shifts are 9:30 AM-6:00 PM, 10:30 AM-7:00 PM, or 11:30 AM - 8:00 PM. Other shifts may be available between 8:00 AM and 8:00 PM, for full-time hours, based on team needs.
Compensation:
Starting from $23.00 per hour. Higher rates may be considered for excellent candidates! Offer based upon experience, education, and interview process.
Please apply with us today to learn more about an excellent opportunity!
Job Type: Full-time
Pay: From $20.00 per hour
Benefits:
Weekly day range:
Education:
Experience:
Work Location: In person