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)
**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
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