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)
About Us
Pine Park Health is redesigning primary care at home for residents of seniors living communities with a value-based approach specifically designed to meet their unique needs. We offer services directly in residents' homes, including preventative care, chronic condition management, and laboratory tests. Our primary care team visits each community regularly, working closely with staff to address individual health concerns. Additionally, we provide rapid access to medical care by offering same-day or next-day appointments for urgent issues, helping reduce the need for unnecessary emergency room visits and hospital admissions.
Our innovative model has attracted over 150 community partnerships and accelerated patient growth across California, Arizona, and Nevada. Pine Park Health is rapidly expanding, backed by investors including First Round Capital, Google’s AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa Ventures. As our team grows quickly, we are seeking individuals who are passionate about helping seniors live meaningful and fulfilling lives, regardless of their health conditions, to join us in this mission.
Pine Park Health is looking for a founding Primary Care Provider, responsible for delivering care in our Sonoma County, California market. We are seeking someone who is excited about the opportunity to work with a smaller patient panel of complex care patients, contribute to a value-based care model, and work with a motivated multi-disciplinary team to provide high-quality patient care. This person-centered care model works to leverage the power of our care navigators to maximize the time and energy of our providers.
Why You'll Love Us
Benefits Designed for You and Yours
Significant travel and startup hours are required for this role. You must have the ability to drive between partner communities as needed.
Pine Park Health provides the highest safety and quality of care for patients who can be at high-risk of COVID-19. To support this work, we require vaccination for all employees and proof of vaccination before hiring.
For individuals assigned and/or hired to work in California, Pine Park Health is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to California and considers the factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Pine Park Health, it’s common for an individual not to be hired at or near the top of the range for their role, and compensation decisions depend on each case's facts and circumstances. A reasonable estimate of the current range is $140,000 to $160,000.
Pine Park Health is an equal opportunity employer — we aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.
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