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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Provide compassionate care to elderly individuals with Alzheimer’s or other related illnesses or disorders. Supports a high quality of life for elderly individuals by providing in-home and personal care, such as assistance with housekeeping, cooking, personal care, and grooming, escorting the client to appointments and social functions, assisting with paying bills and taking prescribed medications, engaging in light exercise and other related activities. Observes client for changes in health and well-being, regularly documents activities and observations, and communicates with supervisor, family members, medical professionals, and other care providers.
Code : 1011-1
Type : INTERNAL & EXTERNAL
Location : SENIOR SERVICES
Group : AFSCME
Job Class : RESPITE CARE PROVIDER
Posting Start : 04/23/2024
Posting End : 05/23/2024
HOURLY RATE RANGE: $17.29-$25.07
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0 Managed Care Provider Relations Manager jobs found in Santa Fe, NM area