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)
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
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.
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).
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