Managed Care Provider Relations Manager jobs in Pittsburgh, PA

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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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview

    The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating management’s goals and objectives for productivity, morale and safe operation of the site.

    This person is also responsible for performing daily clerical activities within the front office and designated areas related to maintaining smooth patient flow and enforcing reimbursement related procedures as they apply to the front office.


    This is a full-time salaried position.

    Time will be split evenly between Front Office (20 hours) and Practice Manager (20 hours)


    Location and Hours of Position

    PHN Rochester Dental Center: 176 Virginia Ave, Rochester PA 15074

    The general office hours for this position are:

    Monday 8.30am-5.00pm

    Tuesday 8.30am - 7.00pm

    Wednesday 8.30am- 500 pm

    Thursday 8.30 am – 5.00 pm

    Friday 8.30 am – 12.20 pm

    NO WEEKENDS


    Qualifications

    • High School Diploma / GED
    • Minimum of three (3) years’ experience in the healthcare / dental field (preferred)
    • Previous management experience (preferred)

    Must have:

    Technological proficiency

    Excellent communication skills, both written and oral

    Possesses a strong work ethic


    Benefits

    Choosing PHN means more than a job title; it's a holistic experience that nurtures every facet of your well-being and aspirations.

    • Medical/Dental/Vision (Employee and Family plans available, eligible immediately upon start)
    • Employer Paid Short Term disability
    • Employer Paid Life Insurance
    • Retirement Plan
    • Paid Time Off
    • 8 Paid Holidays
    • College Savings Plan
    • Fitness Center Membership Reimbursement
    • ID Shield & Legal Shield
    • Volunteer Time Off Program

    The Network

    The Primary Health Network is the largest Federally Qualified Healthcare Center (FQHC) in the state of Pennsylvania. The mission of Primary Health Network is to provide quality primary care services and access to specialty care for the people in the communities we serve. We offer services regardless of age, race, creed, sex, national origin, or the ability to pay.

    With the Joint Commission Accreditation, we adhere to the highest standards of safety and quality in healthcare, ensuring top-notch services that surpass industry benchmarks. Some additional achievements that exemplify our commitment to optimal health and wellness include:

    Patient Centered Medical Home Accreditation

    Age Friendly Care Health System Participant

    HRSA Community Health Quality Recognitions in COVID-19 data reporting, advancing health information technology for quality, and continued implementation of the Primary Care Medical Home care model.

    Ranked an impressive #5 in the Government & Non-Profit sector by Inspiring Workplaces of North America for 2023


    Innovation Through Diversity

    Our path to DEI&B excellence is paved by the remarkable individuals at Primary Health Network. We celebrate the unique backgrounds, insights, and stories they bring. By attracting, nurturing, and retaining talent from all horizons, we're building a space where fresh ideas flourish, ensuring our patients always receive top-tier care.


    Primary Health Network is an Equal Opportunity Employer (EOE).

  • 7 Days Ago

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Practice Manager - Dental Site
  • Provider Openings
  • Rochester, PA FULL_TIME
  • Position Overview The Practice Manager I will be responsible for supervision of our Rochester Dental site and will effectively carry out the Network’s Policies and Procedures while communicating manag...
  • 7 Days Ago

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Board Certified Behavioral Analyst - Master Trainer
  • QBS, provider of Safety-Care
  • Pittsburgh, PA FULL_TIME
  • Safety-Care Master Trainer (BCBA)***Must be able to travel 60% or more overnight in any given workweek, 2-3 weeks a month.***Must be a Board-Certified Behavior Analyst (BCBA)***Must live within 60 min...
  • 12 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Pittsburgh, PA FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 1 Month Ago

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Provider Relations Coordinator
  • Pantherx Specialty LLC
  • Pittsburgh, PA FULL_TIME
  • 7,000 Diseases - 500 Treatments - 1 Rare PharmacyPANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a...
  • 1 Month Ago

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In Home Care Provider
  • Better is Better Home Care
  • Stanton, PA FULL_TIME
  • Better is Better Home Care is a non medical agency. Striving to fulfill our clients needs in handling the day to day and being a companion. We look for and hire hard working, passionate, and reliable ...
  • 23 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Pittsburgh, PA area

Pittsburgh (/ˈpɪtsbɜːrɡ/ PITS-burg) is a city in the Commonwealth of Pennsylvania in the United States, and is the county seat of Allegheny County. As of 2018, a population of 308,144 lives within the city limits, making it the 63rd-largest city in the U.S. The metropolitan population of 2,362,453, is the largest in both the Ohio Valley and Appalachia, the second-largest in Pennsylvania (behind Philadelphia), and the 26th-largest in the U.S. Pittsburgh is located in the south west of the state, at the confluence of the Allegheny, Monongahela, and Ohio rivers. Pittsburgh is known both as "the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$99,384 to $143,364
Pittsburgh, Pennsylvania area prices
were up 1.9% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
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.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019