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)
We are, and always will be, dedicated to improving the health of Native Hawaiians and all of the people of Hawai‘i.
The Queen’s Health System began with a single hospital in 1859 founded by Queen Emma and King Kamehameha IV to provide health care and healing. We now have four hospitals and more than 70 preventive, specialty health care locations and labs throughout the Pacific region.
Our caregiver team includes more than 8,000 employees and over 1,400 physicians networked throughout Hawai‘i and the Pacific Basin.
We’re collaborators who care. We listen to and learn from each other to ensure that our patients benefit and our communities blossom.
If this sounds like an ideal place for your career to grow, we hope you’ll join our ‘ohana!
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Equal Opportunity Employer / Disability / Vet
Job Type: Full-time
Pay: $61,649.00 - $75,520.00 per year
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Work Location: In person
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