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)
Serves as a TVA liaison with Valley-based Congressional staff and the legislative and executive branches of state and local governments. Advances TVA’s strategic objectives with congressional district staffs and state and local officials including Governors and state legislators. Helps develop corporate level policy for effective district, state and local government relations. Works with internal partners to collaborate and help build public support for TVA policies, programs, and initiatives.
Principal Accountabilities
Minimum Requirements:
Education — Bachelor’s degree in political science, business, communications, or related field of study, or equivalent education, training and experience.
Experience — At least five years professional experience in federal, state or local government relations and a strong background or education in state policies and programs. State legislative or executive branch experience is recommended.
Certification/License, etc — None
Knowledge/Skills/Abilities — Comprehensive knowledge of the legislative and executive branches of state government and the TVA programs and policies. Excellent communication skills, both oral and written. Strong background or education in state policies and programs. Strong interpersonal skills, particularly the ability to build rapport, negotiate, and persuade. The ability to respond well under pressure and the ability to analyze and assimilate a great deal of information in a short time frame. Candidate may be required to obtain and maintain a security clearance based on position/access requirements and essential job functions.
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