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)
NPVMC provides the most up to date medical campus in Southeastern Wyoming. In addition to a 24-hour emergency room, NPVMC offers advanced imaging including ultrasound, X-Ray, digital mammography, CT, Dexa Scan, and mobile MRI capabilities. The CAH features an inpatient pharmacy, laboratory services, and physical/occupational therapy. Staffed with both full time physician and mid-level providers, the hospital provides a healthcare solution that services the community and offers convenience to medical services.
The Town of Saratoga itself offers a family friendly, small-town community nestled between the beautiful Rocky and Sierra Madre Mountains. The Platte Valley area is highly known for its breathtaking scenery which offer hiking, camping, blue ribbon fishing, snowmobiling and cross-country skiing to name a few. Within 20 miles you can be floating down the river, driving up the gorgeous Snowy Range, soaking in our famous natural hot springs, or walking through and exploring the Grand Encampment Museum. You and your family will quickly fall in love with the Valley’s charm.
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Job description
As the Extended Care Nursing Manager you would assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day operations of the Nursing Services department, as well as its programs and activities, in accordance with current state and federal laws and regulations.
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0 Managed Care Provider Relations Manager jobs found in Laramie, WY area