Managed Care Provider Relations Manager jobs in San Jose, CA

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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Board Certified Behavioral Analyst - Master Trainer
  • QBS, provider of Safety-Care
  • San Jose, CA 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 minutes of the San Jose airport

    ROLE OVERVIEW

    The primary role of Master Trainer is to provide QBS-designed training programs (primarily Safety-Care) to customers requiring skills in behavior change and management. Safety-Care is trained in various settings, including educational, residential, and treatment settings using a Train-the-Trainer model. Master Trainers travel 30 weeks per year, and they conduct training classes in their local area when not traveling. This role does not include any direct client contact.

    The well-qualified applicant is a Behavior Analyst and Board-Certified Behavior Analyst with experience working in one or more of the following types of settings, educational, residential, in-home, clinic, or hospital settings. The applicant has experience serving individuals with diagnoses varying from autism/DD, traumatic brain injury, to psychiatric disorders, who have exhibited a range of challenging behaviors from disruptive to very dangerous. The applicant should have experience training, teaching, or presenting to audiences.

    Regular travel is a significant component of this role. The applicant should be comfortable traveling alone, booking travel, and managing unexpected travel changes (ex., weather, etc.).

    JOB DUTIES AND EXPECTATIONS

    • Conduct and implement QBS training programs as prescribed and dictated in training manuals and other directive materials
    • Arrange and travel to customer sites to conduct multi-day training programs in the US or internationally as assigned 30 weeks per year, which will involve overnight stays and some weekend travel
    • Complete and submit paperwork in a timely, accurate manner, including but not limited to training records and expense reports
    • Maintain and promote customer service and satisfaction through professional behavior, responding to and/or resolving questions, concerns, and complaints in a professional, thorough, and timely manner
    • Assist with customer support by responding to emails or phone calls and through our online support system
    • Support sales and marketing team through participation in activities including but not limited to in-person and web-based presentations of QBS products and services, newsletters and other publications, sales meetings with prospective customers, customer service calls, exhibit booth duties, and other activities as assigned
    • Participate in the design, development, and refinement of training materials to meet the future needs of QBS clients
    • Maintain certification as a BCBA and maintain knowledge of current literature in applied behavior analysis
    • Complete other duties as assigned
    • Possess a minimum of 3-5 years experience providing consultation and training in behavioral principles and procedures to para/professionals in one or more of the following areas: Autism/Developmental disabilities services, Adolescent or adult psychiatric settings, Brain injury rehabilitation, or Other relevant human service areas in which behaviorally challenged individuals to require services
    • Travel 30 weeks per year with some weekend travel
    • Physical requirements include standing and kneeling for long periods of time, getting up and down from the floor without using the floor for support repetitively, and ability to support weight to the ground or to lift
    • Proficient and Professional verbal and written communication skills
    • Access to strong and reliable internet connection for customer and internal webinars and meetings
    • Computer skills including Microsoft Word, Excel, PowerPoint, and Outlook

    EDUCATION

    • Master’s Degree in Applied Behavior Analysis or closely related program.
    • Minimum of one year, and currently active Board Certification in Behavior Analysis
    • Health Care Plan (Medical, Dental & Vision)
    • Retirement Plan (401k, IRA) with company match
    • Life Insurance (Basic, Voluntary & AD&D)
    • Paid Time Off (Vacation, Sick & Public Holidays)
    • Training & Development
  • 11 Days Ago

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Senior Contract Manager - Managed Care - Full time, 8hr - Days
  • Washington Hospital
  • Fremont, CA FULL_TIME
  • Salary Range: $130,062.40 - $182,062.40Position Summary:The Senior Manager of Contract Services is responsible for the administration, review, and financial analysis of managed care contracts for the ...
  • 18 Days Ago

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Managed Care Sales Specialist
  • Gateway Recruiting, INC.
  • Livermore, CA FULL_TIME
  • The Managed Care Sales Specialist is responsible for key account Managed Care Sales. Managed Care sales targets include national payors, national networks, managed care organizations (HMO, PPO, POS, E...
  • 1 Month Ago

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Stanford Primary Care (IM or FM) - Pleasanton
  • Stanford Health Care Provider Recruiting Team
  • Pleasanton, CA FULL_TIME
  • Description Position at University Medical Partners Internal Medicine/Family Medicine (Adult Medicine Primary Care)University Medical Partners | Stanford MedicinePleasanton, CAUniversity Medical Partn...
  • 19 Days Ago

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Stanford Cardiology, Electrophysiology
  • Stanford Health Care Provider Recruiting Team
  • Pleasanton, CA FULL_TIME
  • Description Position at University Medical Partners Cardiology, Electrophysiology (Full-time) University Medical Partners | Stanford Medicine Emeryville/Castro Valley/Pleasanton, CA University Medical...
  • 19 Days Ago

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Stanford Ob/Gyn - Pleasanton
  • Stanford Health Care Provider Recruiting Team
  • Pleasanton, CA FULL_TIME
  • Description Position at University Medical Partners OB/GYN PhysicianUniversity Medical Partners | Stanford MedicinePleasanton, CAUniversity Medical Partners (UMP), a partner of Stanford Medicine, is s...
  • Just Posted

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0 Managed Care Provider Relations Manager jobs found in San Jose, CA area

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Customer Business Manager / Customer Relationship Manager
  • Superior Foods International
  • Watsonville, CA
  • * Watsonville, CA, USA * Full Time *Superior Foods' benefits include 15 vacation days and 5 sick days annually; medical,...
  • 4/24/2024 12:00:00 AM

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Marketing Relationship Manager
  • FranklinWH Energy Storage Inc.
  • San Jose, CA
  • FranklinWH is a startup company determined to become the leader in the global energy storage system (ESS) industry. Fran...
  • 4/22/2024 12:00:00 AM

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Business Relationship Manager (Revenue Generation)
  • Planet Pharma
  • Brisbane, CA
  • Position Summary As an integral member of our delivery team, the Business Relationship Manager will include performing d...
  • 4/22/2024 12:00:00 AM

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AVP/Relationship Manager
  • Heritage Bank of Commerce
  • San Jose, CA
  • AVP/Relationship Manager Posting Date: 01/04/2024 Location: San Jose, CA (on-site) Requisition #: HBC 24-05 Department: ...
  • 4/22/2024 12:00:00 AM

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Director, IT Business Relationship Management (BRM)
  • Abbott
  • Alameda, CA
  • Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
  • 4/22/2024 12:00:00 AM

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Marketing Relationship Manager
  • Franklinwh Energy Storage Inc.
  • San Jose, CA
  • FranklinWH is a startup company determined to become the leader in the global energy storage system (ESS) industry. Fran...
  • 4/20/2024 12:00:00 AM

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Senior Premier Relationship Manager - Walnut Creek
  • BMO Financial Group
  • Walnut Creek, CA
  • **_The mission of Premier Services is to help mass affluent clientele make real financial progress by understanding and ...
  • 4/20/2024 12:00:00 AM

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Sr. IT Business Relationship Manager, Global Customer Service
  • Abbott Laboratories
  • Alameda, CA
  • Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
  • 3/19/2024 12:00:00 AM

San Jose is located at 37°20′07″N 121°53′31″W / 37.335278°N 121.891944°W / 37.335278; -121.891944. According to the United States Census Bureau, the city has a total area of 180.0 sq mi (466 km2), of which 3.4 sq mi (8.8 km2) (1.91%) is water, making it the fourth-largest California city by land area (after Los Angeles, San Diego and California City). San Jose lies between the San Andreas Fault, the source of the 1989 Loma Prieta earthquake, and the Calaveras Fault. San Jose is shaken by moderate earthquakes on average one or two times a year. These quakes originate just east of the city on...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$126,627 to $182,661
San Jose, California area prices
were up 2.9% from a year ago

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