Managed Care Provider Relations Manager jobs in Wheeling, 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

  • 1 Month Ago

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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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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...
  • 27 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...
  • 14 Days Ago

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Director of Marketing and Public Relations
  • Renaissance Care
  • Morgantown, WV FULL_TIME
  • Company: Renaissance Care Position: Director of Community Relations Employment Type: Full-time Working Hours: Monday to Friday, 8:00 AM to 5:00 PM (Evenings or weekends may be required for community o...
  • Just Posted

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Director of Community Relations
  • Renaissance Care
  • Morgantown, WV FULL_TIME
  • Company: Renaissance Care Position: Director of Community Relations Employment Type: Full-time Working Hours: Monday to Friday, 8:00 AM to 5:00 PM (Evenings or weekends may be required for community o...
  • 12 Days Ago

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

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TRAVEL NURSE RN - ER/TRAUMA - $2,080 PER WEEK IN WEIRTON, WV
  • Mindlance Health
  • Weirton, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/24/2024 12:00:00 AM

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Title Examination Specialist
  • Careerbuilder-US
  • Coraopolis, PA
  • This is an individual contributor role responsible for searching, analyzing, and evaluating records on title for land, h...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - MED/SURG - $2,170 PER WEEK IN WHEELING, WV
  • Mindlance Health
  • Wheeling, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/23/2024 12:00:00 AM

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TRAVEL NURSE RN - MED/SURG - $2,242 PER WEEK IN WHEELING, WV
  • Mindlance Health
  • Wheeling, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/23/2024 12:00:00 AM

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TRAVEL NURSE RN - LTAC - $2,395 PER WEEK IN WEIRTON, WV
  • Mindlance Health
  • Weirton, WV
  • Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if ...
  • 4/23/2024 12:00:00 AM

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Title Examination Specialist
  • Careerbuilder-us
  • Coraopolis, PA
  • This is an individual contributor role responsible for searching, analyzing, and evaluating records on title for land, h...
  • 4/23/2024 12:00:00 AM

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Relationship Manager - Information Technology
  • Wesbanco Bank Inc.
  • Wheeling, WV
  • LocationThis position is 100% remote within the Bank's footprint. The employee will work full time remote outside of a W...
  • 4/22/2024 12:00:00 AM

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Restaurant Manager
  • BJ's Restaurants
  • Upper St. Clair, PA
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 4/24/2023 12:00:00 AM

Wheeling is a city in Ohio and Marshall counties in the U.S. state of West Virginia. Located almost entirely in Ohio County, of which it is the county seat, it lies along the Ohio River in the foothills of the Appalachian Mountains. Wheeling was originally a settlement in the British colony of Virginia and later an important city in the Commonwealth of Virginia. Wheeling was the first state capital of West Virginia. Due to its location along major transportation routes, including the Ohio River, National Road, and the B&O Railroad, Wheeling became a manufacturing center in the late nineteenth...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$98,779 to $142,490
Wheeling, West Virginia area prices
were up 1.2% from a year ago

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