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)
Job scope:
Under the direct supervision of LPHA, the Care Coordination Peer Support Specialist draws from their own personal experiences and comfort level to provide individualized support activities according to individuals' recovery goals. The Peer Support Specialist will be able to share a hopeful message and exercise choice to assist individuals in being able to live, work and participate in their home and community. Peer Support Specialist will utilize different pathways to recovery to investigate, select, and use needed and desired resources including housing, employment, and access to resources to meet basic needs, primary care, and linkage to natural supports. Services shall typically be provided in individuals' natural environment. Requires the ability to establish good personal boundaries, and be able to effectively communicate considering the uniqueness and complexities of individuals and their families.
Education/licensure:
Current valid driver's license in state of residence.
Graduation from High School or Equivalency
Experience/Knowledge:
Prior experience as a recipient of public mental health treatment or rehabilitation services.
Ability to effectively communicate with a wide range of individuals.
Demonstrates ability to construct grammatically correct descriptive paragraphs.
Ability and willingness to follow job related instructions and accept supervision.
Displays ability to maintain appropriate personal boundaries.
Minimum Hiring Hourly Salary: $16.00
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