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)
Position: Managed Care Contract Specialist
Full Time 40 hrs
GENERAL PURPOSE
Prepares, manages and/or administers contracts and subcontracts. Reviews and approves all contractual documents to ensure adherence to company policy, satisfaction of customer specifications, and protection of the company's contractual posture. Advises management of contractual rights and obligations and provides interpretation of terms and conditions.
ESSENTIAL JOB DUTIES
QUALIFICATIONS
KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORS
By joining our corporate team, you’ll work with others who share your passion, and you’ll receive support from a team that appreciates your unique contributions. We offer a comprehensive benefits package, paid time off and the chance to grow your career at a company that values each individual. Apply today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR https://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.
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