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)
Managed Career Solutions, Inc. (MCS) has over 20 years experience providing high quality employment and training and human services to residents across Southern California. MCS seeks to hire and retain team members who will strive to achieve our vision: To Deliver World-Class Services to Our Customers; and work within the framework of our mission: To provide Quality Employment, Training, and Business Services to our community.
Job Description – WIOA Intake Case Manager Special Projects
Reporting to the Leadership Team, the WIOA Intake Case Manager, Special Projects is charged with the intake, assessment, eligibility screening and enrollment process for eligible program participants.
Essential Functions:
Duties include, but are not limited to:
Essential Job Requirements:
Minimum Requirements:
Personal Requirements:
Job Type: Full-time
Pay: From $40,500.00 per year
Schedule:
Work Location: In person
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