Managed Care Provider Relations Manager jobs in La Crosse, WI

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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Managed Care Coordinator
  • Family Health Center of M
  • Chippewa Falls, WI FULL_TIME
  •  

    The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insurance benefit information to patients and patient care departments. The Managed Care Coordinator assists patients and providers with developing strategies for alternative options for non-covered services by communicating with the provider, patient, insurance carrier and Patient Assistance Counselor.

    JOB QUALIFICATIONS 

    EDUCATION

    For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

    Minimum Required: High school diploma or equivalent. Successful completion of a medical terminology and an anatomy & physiology course, per departmental procedures, within one year of hire.

    Preferred/Optional: Successful completion of a medical terminology and an anatomy & physiology course at time of hire. Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program.

    EXPERIENCE

    Minimum Required: Two years’ experience in a medical business office or health care setting. Prior experience should include working with and obtaining insurance eligibility and benefit information.

    Preferred/Optional: None

    CERTIFICATIONS/LICENSES

    The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

    Minimum Required: For positions hired within the dental centers: Basic Life Support (BLS) awarded by the American Heart Association within one year of hire.

    Preferred/Optional: Basic Life Support (BLS) awarded by the American Heart Association at time of hire.


    Monday - Friday; 8:00 AM - 5:00 PM
    40
  • 14 Days Ago

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Managed Care Coordinator
  • Family Health Center of M
  • Neillsville, WI FULL_TIME
  • The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
  • 14 Days Ago

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Youth Care Provider - AB
  • Consumer Direct Care Network
  • Eau Claire, WI PART_TIME
  • Looking for a reliable and kind individual to spend some time with an intelligent, chill, fun young lady in the community or in your home. She loves animals so would be very happy if you have pets. Sh...
  • 2 Days Ago

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In Home Care Provider
  • Christian Servants Home Care
  • Ferryville, WI FULL_TIME,PART_TIME
  • Full Job Description We support our clients in the place they call home providing any non-medical needs such as respite, supportive home care, mentorship, daily living skills training, general compani...
  • 12 Days Ago

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In Home Care Provider
  • Consumer Direct Care Network
  • Marshfield, WI PART_TIME
  • Work for someone who will truly appreciate your time and dedication! Such a small time to make a BIG difference in someone’s life. We are looking for caregivers for an individual who lives in their ow...
  • 16 Days Ago

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In Home Care Provider
  • Consumer Direct Care Network
  • Colby, WI PART_TIME
  • Work for someone who will truly appreciate your time and dedication! Such a small time to make a BIG difference in someone’s life. We are looking for caregivers for an individual who lives in their ow...
  • 16 Days Ago

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0 Managed Care Provider Relations Manager jobs found in La Crosse, WI area

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Real Estate Sales Agent
  • Coldwell Banker River Valley, REALTORS
  • Onalaska, WI
  • Get the advantage you need for success! Coldwell Banker River Valley, REALTORS is a leading real estate company in Weste...
  • 3/28/2024 12:00:00 AM

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Director, Clinics
  • Florence Health
  • Houston, MN
  • Title: Director, Clinics Background Florence Health is a rapidly growing primary care-focused clinic platform, launching...
  • 3/28/2024 12:00:00 AM

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NP/PA Congestive Heart Failure (CHF) Clinic
  • Gundersen Health System
  • La Crosse, WI
  • We are seeking a Nurse Practitioner or Physician Assistant to join a well-respected cardiology practice in La Crosse, Wi...
  • 3/28/2024 12:00:00 AM

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Adult Psychiatrist
  • Mayo Clinic Health System
  • La Crosse, WI
  • Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & Worl...
  • 3/28/2024 12:00:00 AM

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Respiratory Therapist, .6 FTE, Nights - No Experience Required
  • Gundersen Health System
  • La Crosse, WI
  • Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, ...
  • 3/28/2024 12:00:00 AM

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Business Banking Specialist
  • State Bank Financial
  • La Crosse, WI
  • Our Business Banking Specialist candidate must have strong organizational and customer service skills for interacting wi...
  • 3/27/2024 12:00:00 AM

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Vendor Management Lead
  • Expro Group
  • Houston, MN
  • Who is Expro? Working for our clients across the entire well life cycle, Expro is a visionary full-cycle energy services...
  • 3/27/2024 12:00:00 AM

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Director of Financial Aid
  • Viterbo University
  • La Crosse, WI
  • Job Description Job Description Viterbo University invites applications for the Director of Financial Aid. Under the gen...
  • 3/24/2024 12:00:00 AM

La Crosse is located on the western border of the midsection of Wisconsin, on a broad alluvial plain along the east side of the Mississippi River. The Black River empties into the Mississippi north of the city, and the La Crosse River flows into the Mississippi just north of the downtown area. Just upriver from its mouth, this river broadens into a marshland that splits the city into two distinct sections, north and south. According to the United States Census Bureau, the city has a total area of 22.54 square miles (58.38 km2), of which, 20.52 square miles (53.15 km2) is land and 2.02 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$93,520 to $134,910
La Crosse, Wisconsin area prices
were up 1.3% from a year ago

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No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
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Managed Care Provider Relations Manager in Fort Wayne, IN
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Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019