Managed Care Provider Relations Manager jobs in Minneapolis, MN

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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Medical Care Coordinator
  • Compass Medical Provider, LLC
  • Cottage Grove, MN CONTRACTOR,FULL_TIME
  • Compass Medical Provider is looking for a Medical Care Coordinator to support the Minnesota Army National Guard.

    Position Summary:

    Care Coordinator personnel will be responsible for coordinating and monitoring of medical and dental treatment plans with soldiers for the National Guard.

    Requirements listed below are representative of the knowledge, skill, and/or ability required to be employed for this position.

    Administrative charting - Employee will ensure all administrative charting is completed and reviews are conducted monthly to ensure that every Soldier with a need is being tracked, managed, and communicated with at a minimum of every 30 days.

    Assist Soldiers in scheduling appointments with appropriate facilities for a mass event and assist with the national voucher vendor.

    Communicate with delegated government personnel to track compliance versus noncompliance.

    Monitor designated medical readiness databases to ensure all scheduled services are completed/updated and current medical status is reflected.

    Attend PHA events as determined by the needs of the state and the individual units.

    Prepare for and/or document team case meetings as directed by the case management team and/or DSS and State Dental Officer

    Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment

    Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.

    Obtain release of information from Soldier.

    Maintain Health Insurance Portability and Accountability Act of1996 (HIPAA) standards and guidelines.

    Upload medical/dental documents .

    Provide all documents received for case management to SSO office

    Obtain a working knowledge of Military dynamics and organizational management.

    Minimum Experience:

    6 years experience working in a healthcare setting. An ideal candidate would have some knowledge in healthcare and basic of dental practices.

    Proven work experience as a team leader or supervisor.

    Excellent communication, leadership, organizational and time-management skills.

    Requirements

    Security – Must be able to pass a national security background check for access into military electronic systems.

    Possess the required technical skills and expertise to perform the above responsibilities with minimal guidance.

    Must be proficient in Microsoft Word, Excel, PowerPoint, and Outlook, and have a working knowledge of desktop computer operations.

    Prefer additionally:

    Prior active duty or military contracting experience preferred

    Must have experience working with confidential, detailed processes. Excellent organizational and customer service skills.

    Compass Medical Provider takes great pride in assisting the National Guard with soldiers Health and Dental needs.

    Job Types: Full-time, Contract

    Pay: From $27.00 per hour

    Expected hours: 40 per week

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • Weekends as needed

    Work setting:

    • In-person

    Experience:

    • Medical administrative support: 2 years (Preferred)

    Language:

    • English (Preferred)

    Ability to Relocate:

    • Cottage Grove, MN: Relocate before starting work (Required)

    Willingness to travel:

    • 25% (Preferred)

    Work Location: In person

  • 20 Days Ago

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Managed Care Contract Manager - Human Services Program Representative 2
  • State of Minnesota
  • Saint Paul, MN FULL_TIME
  • When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives. Job Details Working Title: Managed Care Contra...
  • Just Posted

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Dir, Managed Care
  • Minnesota Oncology
  • Saint Paul, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 10 Days Ago

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Healthcare Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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Practice Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 1 Month Ago

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0 Managed Care Provider Relations Manager jobs found in Minneapolis, MN area

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Senior Client Relationship Manager
  • Ambient Consulting
  • Minnetonka, MN
  • As Ambient Consulting expands, we are seeking a Senior Client Relationship Manager (sales) in our Minnetonka, MN office ...
  • 4/24/2024 12:00:00 AM

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Relationship Manager
  • Insight Global
  • Oakdale, MN
  • Title: Relationship Manager Location: Oakdale, MN Salary: ~$51k w/Quarterly Bonuses Targeting $12k per year Requirements...
  • 4/22/2024 12:00:00 AM

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Client Relationship Manager - Manufacturing - MN
  • Cognizant Technology Solutions
  • Minneapolis, MN
  • Description Client Relationship Manager - Manufacturing Location: Minneapolis, MN About Cognizant Cognizant is one of th...
  • 4/22/2024 12:00:00 AM

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Relationship Manager - Oakdale, MN
  • Fidelity TalentSource LLC
  • Oakdale, MN
  • Job Description: We believe as a Relationship Manager, you will be facilitating relationships with Fidelity s most valua...
  • 4/21/2024 12:00:00 AM

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Director IT Business Relationship Management
  • Uponor North America
  • Saint Paul, MN
  • Uponor is rethinking water for future generations. Our offering, including safe drinking water delivery, energy-efficien...
  • 4/21/2024 12:00:00 AM

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Banking as a Service (BaaS) Relationship Manager - (Hybrid/Remote)
  • Emprise Bank
  • Minneapolis, MN
  • At Emprise Bank, everything we do is focused on empowering the neighborhoods, businesses, and people in our communities ...
  • 4/21/2024 12:00:00 AM

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Senior Relationship Manager, Leasing
  • The Judge Group
  • Minneapolis, MN
  • Benefits Overview A career at CoBank can offer you the opportunity to make a personal impact on the people and communiti...
  • 4/20/2024 12:00:00 AM

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Banking as a Service (BaaS) Relationship Manager - (Hybrid/Remote)
  • Emprise Bank
  • Minneapolis, MN
  • At Emprise Bank, everything we do is focused on empowering the neighborhoods, businesses, and people in our communities ...
  • 4/20/2024 12:00:00 AM

Minneapolis (/ˌmɪniˈæpəlɪs/ (listen)) is the county seat of Hennepin County and the larger of the Twin Cities, the 16th-largest metropolitan area in the United States. As of 2017, Minneapolis is the largest city in the state of Minnesota and 45th-largest in the United States, with an estimated population of 422,331. The Twin Cities metropolitan area consists of Minneapolis, its neighbor Saint Paul, and suburbs which altogether contain about 3.6 million people, and is the third-largest economic center in the Midwest. Minneapolis lies on both banks of the Mississippi River, just north of the riv...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$107,053 to $154,425
Minneapolis, Minnesota area prices
were up 1.4% from a year ago

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