Managed Care Provider Relations Manager jobs in Maryland

Jai Medical Systems Managed Care Organization, Inc. was founded in 1997 and serves a diverse population of children and adults throughout the State of Maryland.

Since our founding, Jai Medical Systems' mission has been to provide high quality healthcare benefits and services to the people of Maryland. We continue this tradition of quality and excellence by working with our members to help identify their healthcare needs, while remaining an active and positive presence within our communities.

Throughout our history of service, Jai Medical Systems has been consistently ranked by the State of Maryland as one of the highest rated Managed Care Organizations for quality. Jai Medical Systems' commitment to our members and high quality healthcare is demonstrated by our performance in health insurance quality measures, such as HEDIS ®. In fact, our HEDIS® scores for key healthcare quality indicators such as Well Child Checks, Breast Cancer Screenings, and Diabetes Care are among some of the highest HEDIS® scores in the nation.

Provider Relations Representative Job Summary:

We are currently seeking a hard-working, enthusiastic, and dedicated employee to join our Provider Relations team. Responsibilities include claims and appeals review, credentialing, contracting, and public relations.

Provider Relations Representative Requirements:

• College Degree or equivalent experience
• Excellent time management and communication skills
• Basic data management skills
• Problem solving skills
• Organizational skills and ability to multi-task
• Strong work ethic and self driven
• A desire to help others with excellent customer service
• A commitment to excellence
• Experience/knowledge of Microsoft Access/ Excel, AMISYS and IntelliSoft desirable, but not required.
• Experience/knowledge of claims, appeals, and credentialing desirable, but not required
• Full-time required in-office hours, Monday through Friday 9am to 6pm

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Are you available to work required in office hours Monday-Friday 9am-6pm (1 hour lunch)?

Education:

• Bachelor's (Preferred)

Work Location: In person