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)
With over 30 years of experience, Diversified Technology Corporation has become the most respected and full-service provider of specialized billing solutions for government and commercial utility companies. Our company provides fully customizable, multi-platform software with an unparalleled support network that does not exist anywhere else industry-wide. Our client experience is integral to our company's unique position, ensuring that from first contact, our clients feel valued and are held in the highest esteem by our company. The Managed Services Associate works with and on behalf of clients daily to provide efficient billing and payment services for their customers.
Duties
The Managed Services Manager is responsible for managing the Managed Services department, including the associates who provide direct support to clients and customers.
Detailed job duties include:
Qualifications
Job Type: Full-time
Schedule:
Education:
Experience:
Work Location: In person
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