Managed Care Provider Relations Manager jobs in Rhode Island

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)

Q
Board Certified Behavioral Analyst - Master Trainer
  • QBS, provider of Safety-Care
  • Providence, RI FULL_TIME
  • Safety-Care Master Trainer (BCBA)

    ***Must be able to travel 60% or more overnight in any given workweek, 2-3 weeks a month.

    ***Must be a Board-Certified Behavior Analyst (BCBA)

    ***Must live within 60 minutes of the Boston, MA or Providence, RI airport

    ROLE OVERVIEW

    The primary role of Master Trainer is to provide QBS-designed training programs (primarily Safety-Care) to customers requiring skills in behavior change and management. Safety-Care is trained in various settings, including educational, residential, and treatment settings using a Train-the-Trainer model. Master Trainers travel 30 weeks per year, and they conduct training classes in their local area when not traveling. This role does not include any direct client contact.

    The well-qualified applicant is a Behavior Analyst and Board-Certified Behavior Analyst with experience working in one or more of the following types of settings, educational, residential, in-home, clinic, or hospital settings. The applicant has experience serving individuals with diagnoses varying from autism/DD, traumatic brain injury, to psychiatric disorders, who have exhibited a range of challenging behaviors from disruptive to very dangerous. The applicant should have experience training, teaching, or presenting to audiences.

    Regular travel is a significant component of this role. The applicant should be comfortable traveling alone, booking travel, and managing unexpected travel changes (ex., weather, etc.).

    JOB DUTIES AND EXPECTATIONS

    • Conduct and implement QBS training programs as prescribed and dictated in training manuals and other directive materials
    • Arrange and travel to customer sites to conduct multi-day training programs in the US or internationally as assigned 30 weeks per year, which will involve overnight stays and some weekend travel
    • Complete and submit paperwork in a timely, accurate manner, including but not limited to training records and expense reports
    • Maintain and promote customer service and satisfaction through professional behavior, responding to and/or resolving questions, concerns, and complaints in a professional, thorough, and timely manner
    • Assist with customer support by responding to emails or phone calls and through our online support system
    • Support sales and marketing team through participation in activities including but not limited to in-person and web-based presentations of QBS products and services, newsletters and other publications, sales meetings with prospective customers, customer service calls, exhibit booth duties, and other activities as assigned
    • Participate in the design, development, and refinement of training materials to meet the future needs of QBS clients
    • Maintain certification as a BCBA and maintain knowledge of current literature in applied behavior analysis
    • Complete other duties as assigned
    • Possess a minimum of 3-5 years experience providing consultation and training in behavioral principles and procedures to para/professionals in one or more of the following areas: Autism/Developmental disabilities services, Adolescent or adult psychiatric settings, Brain injury rehabilitation, or Other relevant human service areas in which behaviorally challenged individuals to require services
    • Travel 30 weeks per year with some weekend travel
    • Physical requirements include standing and kneeling for long periods of time, getting up and down from the floor without using the floor for support repetitively, and ability to support weight to the ground or to lift
    • Proficient and Professional verbal and written communication skills
    • Access to strong and reliable internet connection for customer and internal webinars and meetings
    • Computer skills including Microsoft Word, Excel, PowerPoint, and Outlook

    EDUCATION

    • Master’s Degree in Applied Behavior Analysis or closely related program.
    • Minimum of one year, and currently active Board Certification in Behavior Analysis
    • Health Care Plan (Medical, Dental & Vision)
    • Retirement Plan (401k, IRA) with company match
    • Life Insurance (Basic, Voluntary & AD&D)
    • Paid Time Off (Vacation, Sick & Public Holidays)
    • Training & Development
  • 5 Days Ago

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Dog Walker and Pet Care Provider
  • Fetch! Pet Care of Providence - Bay Area
  • Warwick, RI PART_TIME
  • Dog walkers and pet care providers needed Are you a true animal lover? Do you enjoy spending time outdoors? Are you committed to providing excellent service? If so, you might be the perfect fit for ou...
  • 2 Days Ago

C
Early Evening Assistance In home - care provider
  • CareGivers Home Care
  • Middletown, RI PART_TIME
  • I am seeking a couple of reliable individuals to assist me in my home early evenings (women are preferred)... The hours are from 5 pm to 9 pm. I am a 65-year-old woman. I live in Middletown, RI. I suf...
  • 25 Days Ago

M
Material Handler
  • Managed Staffing
  • Warwick, RI CONTRACTOR
  • Duties in this position are usually repetitive, requiring limited analysis and use of individual judgment. Specific duties for this position include scanning trays to prepare invoices, matching invoic...
  • 26 Days Ago

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Senior Media Relations Manager
  • REGENT
  • North, RI FULL_TIME
  • REGENT is building the seaglider; the first electric flying machine that will transport commercial passengers. With a vehicle that never flies higher than a few meters off the water, we unlock the abi...
  • 14 Days Ago

U
Labor Relations Manager - Remote
  • UNFI
  • Providence, RI FULL_TIME
  • Fully remote role with 50% travel throughout the USA, except California and Washington Looking for someone who lives in the Central or East Regions of the USA Purpose: This Labor Relations Manager wil...
  • 22 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$105,337 to $151,951

Managed Care Provider Relations Manager in Trenton, NJ
Rizk says McKesson has created a collegial relationship by reaching out to providers.
January 03, 2020
Managed Care Provider Relations Manager in Gary, IN
Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.
February 24, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019