Managed Care Provider Relations Manager jobs in Parkersburg, 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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Provider Relations Manager
  • Buckeye Hospice and Palliative Care
  • McConnelsville, OH FULL_TIME
  • **JOIN A TEAM, MAKE A DIFFERENCE!!**

    Buckeye Hospice and Palliative Care Services has expanded its reach across Ohio. This expansion presents a unique opportunity for a Provider Relations Manager to lead the efforts to lead the marketing efforts in the McConnelsville region and surrounding counties. Buckeye is a progressive hospice and palliative care company that values teamwork, flexibility, and offers a healthy work/life balance.

    DUTIES OF POSITION

    Is responsible for strategically planning all marketing activities and navigating referrals. This role is responsible for collaborating with the hospice team members, community, professional referral sources- promoting company services.

    POSITION RESPONSIBILITIES

    Analyze the potential of the company's service area to determine target markets.

    Visit Doctor' offices, hospitals, Assisted Living facilities, Skilled Nursing Facilities and other possible sources of referrals to present Agency credentials.

    Analyze past and current marketing data.

    Analyze patient/company relationships.

    Responsible for the development of objectives and sales projections.

    Assist with the development of a marketing plan, identifying priorities and sets a reasonable timetable.

    Develop and implement marketing plan staying within established timetable.

    Review and evaluate the analyses and plan on an established basis.

    Assist office staff as needed with going to Physician’s offices to obtain signatures, drop off IDG updates, etc.

    Provide community outreach and education.

    JOB CONDITIONS

    Position is stressful in terms of meeting deadlines.

    Physical activities will include, walking, sitting, stooping, standing and lifting up to 25 lbs.

    EQUIPMENT OPERATION

    Must be able to use a computer, multi-line telephone, and other office equipment.

    QUALIFICATIONS

    1. At least 1 year experience in marketing, nursing or social work interacting with health agencies/ professionals. Hospice experience preferred.

    2. Must be organized and detail oriented.

    3. Must be able to communicate effectively orally and in writing.

    4. Must be a licensed driver with an insured automobile in good working order.

    Job Type: Full-time

    Benefits:

    · 401(k)

    · Dental insurance

    · Flexible schedule

    · Health insurance

    · Life insurance

    · Paid time off

    · Vision insurance

    Schedule:

    · Monday to Friday

    Supplemental pay types:

    · Commission pay

    Education:

    · High school or equivalent (Required)

    Experience:

    · Hospice care: 1 year (Preferred)

    Work Location: One location

  • 7 Days Ago

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Managed Care/ Payer Enrollment Specialis
  • Mon Health
  • Morgantown, WV FULL_TIME
  • With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. This role manages accounting a...
  • Just Posted

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Managed Care/ Payer Enrollment Specialist
  • Mon Health
  • Morgantown, WV FULL_TIME
  • With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. This role manages accounting a...
  • 9 Days Ago

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Child Care Provider
  • King's Daughters Child Care Center
  • Wheeling, WV FULL_TIME,PART_TIME
  • Do you find joy in working with children and enjoy taking care of them while being part of a fun, caring and professional team? Join us at King's Daughters Child Care Center and not only will you grow...
  • 3 Days Ago

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Advanced Practice Provider – Nurse Practitioner / Physician Assistant
  • Transformations Care Network
  • Morgantown, WV FULL_TIME
  • Transformations Care Network is an established network of behavioral health clinics that, out of a passion for providing superior patient care, is empowering our clinicians and customer service teams ...
  • 2 Days Ago

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Home Health Care Aide / State Tested Nursing Assistant, Direct Service Provider, HHA STNA DSP
  • Acute Nursing Care
  • Cambridge, OH FULL_TIME
  • ANC Homecare LLC & Acute Nursing Care LLC are hiring. We are looking to hire and develop Home Health Care Aides to provide direct care and support for our clients. Current positions are available in t...
  • 1 Month Ago

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

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Customer Experience Specialist
  • Treasury
  • Parkersburg, WV
  • ** Customer Experience Specialist** **Department of the Treasury** **Location** 1 vacancy in the following location: ** ...
  • 3/28/2024 12:00:00 AM

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Technical Consultant - Patient Monitoring (Remote/Travel: Central PA/Upstate NY)
  • Philips
  • Reedsville, OH
  • Job Title Technical Consultant - Patient Monitoring (Remote/Travel: Central PA/Upstate NY) Job Description Allow your pa...
  • 3/28/2024 12:00:00 AM

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Restaurant Manager - Become a GM quickly. $$$
  • Gecko Hospitality
  • Parkersburg, WV
  • Restaurant Manager - GROWING company and AMAZING benefits! Apply to this opening in Parkersburg WV We are seeking a Gene...
  • 3/28/2024 12:00:00 AM

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Manager of Environmental Services
  • WVU Medicine
  • Parkersburg, WV
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
  • 3/28/2024 12:00:00 AM

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VP Quality and Patient Safety
  • West Virginia University Health System
  • Parkersburg, WV
  • Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
  • 3/28/2024 12:00:00 AM

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Professional Pharmaceutical Sales Representative
  • Syneos Health, Inc
  • Parkersburg, WV
  • Description You have what it takes: a competitive drive coupled with exceptional sales ability. In this role, you will b...
  • 3/28/2024 12:00:00 AM

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Customer Service Representative (Toll)
  • ValorVIP
  • Parkersburg, WV
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (TOLL) We are looking for Customer Service Representatives to support...
  • 3/28/2024 12:00:00 AM

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Entry-Level Tolling Customer Service
  • ValorVIP
  • Parkersburg, WV
  • POSITION OVERVIEW: ENTRY-LEVEL TOLLING CUSTOMER SERVICE We are looking for agents to support walk-up customer inquiries,...
  • 3/28/2024 12:00:00 AM

Parkersburg is a city in and the county seat of Wood County, West Virginia, United States. Located at the confluence of the Ohio and Little Kanawha rivers, it is the state's third-largest city and the largest city in the Parkersburg-Marietta-Vienna metropolitan area. The population was 31,492 at the 2010 census. Its peak population was 44,797 in 1960. The city is about 14 miles south of Marietta, Ohio. The Baltimore and Ohio Railroad reached Parkersburg in 1857, but lacked a crossing over the Ohio River until after the American Civil War. When the B&O completed the Parkersburg Bridge (CSX) 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$89,373 to $128,928
Parkersburg, West Virginia area prices
were up 1.2% from a year ago

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