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)
LTC Physician Care is a new and emerging medical group dedicated to serving patients across the care continuum focusing specifically on Skilled Nursing and Long-Term Care facility settings, to improve the quality of care delivered, refine facility processes, and enhance patient relationships. LTC provides Primary Care Physician (PCP) services and Medical Directorships to over 30 SNF-LTC facilities across Michigan.
LTC Physician Care is seeking compassionate Palliative Care - Nurse Practitioner in, Grand Rapids, MI area to join our team of providers in the family of skilled nursing facilities we service.
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Contact:
Santina Gianino
Director of Recruiting
LTC Physicians Care
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0 Managed Care Provider Relations Manager jobs found in Grand Rapids, MI area