Managed Care Provider Relations Manager jobs in Huntington, WV

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)

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Managed Care Financial Analyst
  • Mountain State Oral and Facial Surgery
  • Huntington, WV FULL_TIME
  • Cabell Huntington Hospital is seeking a full-time Managed Care Financial Analyst to work alongside our Contract Management Department. 

     

    The Managed Care Financial Analyst is responsible for ensuring accuracy of third party insurance payments according to contractual and state/federal reimbursement guidelines and policy. Identifies underpayments and works with patient accounting department and third party payor to resolve/appeal.  Assist in payor relations and provider contracting.  Maintains contract management pricing software.  Negotiates single case agreements. Assist in preparation, maintenance, and compliance of pricing transparency requirements and disclosures.  Assist in various other financial analysis.

  • Just Posted

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Managed Care Financial Analyst
  • Connected Teletherapy
  • Huntington, WV FULL_TIME
  • Cabell Huntington Hospital is seeking a full-time Managed Care Financial Analyst to work alongside our Contract Management Department. The Managed Care Financial Analyst is responsible for ensuring ac...
  • 10 Days Ago

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In Home Care Provider
  • Coalfield Community Action Partnership
  • Kermit, WV FULL_TIME,PART_TIME
  • Apply at www.coalfieldcap.org/employmentWe are seeking caring individuals who enjoy working with senior citizens. The position provides in-home care services.Requirements: valid driver’s licenseRate o...
  • 1 Month Ago

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Emergency Medicine
  • KPG Provider Services
  • Gallipolis, OH FULL_TIME
  • Emergency Medicine physician job in Ohio : Inpatient Facility: Looking for an experienced Emergency Medicine Physician in the Gallipolis, Ohio area. Below you will find the Position Overview with all ...
  • 25 Days Ago

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Mid-Level Provider (NP or PA)-Urgent Care - (Casual) – 7149
  • CABELL HUNTINGTON HOSPITAL\/ST. MARY
  • Huntington, WV PART_TIME
  • St. Mary’s Medical Center is seeking a casual Nurse Practitioner/Physician Assistant in the St. Mary's Medical Management Urgent Care . The individual in the role will promote excellence in patient ca...
  • 26 Days Ago

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Program Manager
  • Addiction Recovery Care
  • Paintsville, KY FULL_TIME
  • ADDICTION RECOVERY CARE, LLCODYSSEY INCPOSITION DESCRIPTIONPOSITION: AOC Program ManagerEMPLOYEE CLASSIFICATION: ExemptREPORTS TO: COO-EastAPPROVAL DATE:POSITION SUMMARY: The Campus Administrator is r...
  • 2 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Huntington, WV area

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Market Sales Manager - Charleston, WV
  • BLC BACKLOTCARS Inc
  • Charleston, WV
  • * This individual will also be responsible for performing inspections on vehicles. Who We Are: At OPENLANE we make whole...
  • 4/25/2024 12:00:00 AM

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Quality Officer - Clinical Research
  • Marshall Health
  • Huntington, WV
  • Job Responsibilities: Ensures that all processes contributing to the performance of a clinical trial are conducted prope...
  • 4/25/2024 12:00:00 AM

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Director of Maintenance & Engineering (Sign on bonus eligible)
  • Cabell Huntington Hospital/St. Mary
  • Huntington, WV
  • Job Description Cabell Huntington Hosptial is seeking a full-time Director of Maintenance and Engineering for our Mainte...
  • 4/25/2024 12:00:00 AM

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Regional Vice President of Business Development (Home Health-WV)
  • LHC New
  • Huntington, WV
  • Summary The Regional Vice President of Business Development provides sales leadership and corporate presence within inte...
  • 4/25/2024 12:00:00 AM

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TRAVEL NURSE RN - MED/SURG - $2,618 PER WEEK IN HUNTINGTON, WV
  • Mindlance Health
  • Huntington, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - PCU - $2,774 PER WEEK IN HUNTINGTON, WV
  • Mindlance Health
  • Huntington, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/24/2024 12:00:00 AM

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Account Manager, Manufacturing
  • Grainger Businesses
  • Huntington, WV
  • Work Location Type: Onsite As a leading industrial distributor with operations primarily in North America, Japan and the...
  • 4/24/2024 12:00:00 AM

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Trauma Sales Associate - Parkersburg, WV
  • Stryker Corporation
  • Charleston, WV
  • Why join Stryker? We are proud to be named one of the World's Best Workplaces and a Best Workplace for Diversity by Fort...
  • 4/22/2024 12:00:00 AM

Huntington is in the southwestern corner of West Virginia, on the border with Ohio, on the southern bank of the Ohio River, at the confluence with the Guyandotte River. The city lies within the ecoregion of the Western Allegheny Plateau. Most of the city is in Cabell County, for which it is the county seat. A portion of the city, mainly the neighborhood of Westmoreland, is in Wayne County. Huntington is commonly divided into four main sections. The north/south divider is the CSX railroad tracks, while the east/west divider is First Street. Residents of Huntington are called "Huntingtonians." A...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$89,698 to $129,391
Huntington, West Virginia area prices
were up 1.2% from a year ago

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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
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Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
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