Managed Care Provider Relations Manager jobs in Schenectady, NY

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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Managed Care Coordinator
  • Four Winds Hospitals
  • Saratoga Springs, NY FULL_TIME
  • Four Winds Hospital is seeking a full-time Managed Care Coordinator.

    • This position reports to the hospital Managed Care leadership to ensure the hospital captures and maintains current information regarding the insurance, benefits available, admissions, concurrent and retrospective review requirements and other pertinent information concerning the third party payer on each patient.
    • The Coordinator also carries out other administrative functions to support implementation of Managed Care contractual requirements.
    • Successful applicant must possess an A.S. or A.A.S. degree in a business or health related discipline from an accredited college or university, or an equivalent combination of experience, education, and training.
    • Minimum of 2 years’ experience in a hospital environment; managed care and insurance benefits experience preferred.
    • Ability to follow, read and interpret insurance information, ability to shift priorities, demands and timelines; demonstrated organizational skills with the ability to prioritize, multi-task and work with deadlines; well-developed interpersonal and communication skills experience with Electronic Medical Records preferred and strong customer focus.

    We offer a competitive salary based on experience. Our generous benefit package includes but not limited to: employer funded retirement plan, 401k, health & dental insurance, life insurance, flexible spending plan, generous paid time off package.

    Please send resume and cover letter to hrs@fourwindssaratoga.com or visit our website at www.fourwindshospital.com to complete an online application.

    Four Winds Hospital is an Equal Opportunity Employer.

  • 22 Days Ago

B
Director Provider Relations
  • Birdsong Hearing Benefits
  • Santa, MI OTHER
  • OverviewABOUT US Birdsong Hearing Benefits™ LLC, is a hearing benefits manager that views hearing care as total care. We provide Medicare Advantage, including all lines of business in government progr...
  • 1 Month Ago

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Care Manager
  • TRI-COUNTY CARE LLC
  • Saratoga Springs, NY FULL_TIME
  • Job Overview: The role of the Care Manager is to deliver the 6 core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the ...
  • 1 Month Ago

T
Care Manager
  • TRI-COUNTY CARE LLC
  • Schenectady, NY FULL_TIME
  • Job Overview: The role of the Care Manager is to deliver the 6 core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the ...
  • 1 Month Ago

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Care Manager/Social Worker
  • HCR Home Care
  • Glens Falls, NY FULL_TIME
  • HCR’s Care Management Team offers a great work environment and supportive management. Voted as a Top Workplace for five years in a row, we are a quality driven organization that offers competitive pay...
  • 14 Days Ago

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Civil Engineer - Municipal Project Manager
  • Municipal Project Manager - LaBella Associates
  • Glens Falls, NY FULL_TIME
  • The Project Manager will work on water supply/distribution, water quality and wastewater collection/treatment projects. This individual will work closely with the Municipal Team Leader and other membe...
  • 18 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Schenectady, NY area

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Engagement Manager
  • Quest Global
  • Schenectady, NY
  • Position Title: Engagement Manager – Energy & Power Location: Schenectady, NY / Greenville, SC The Engagement Manager wo...
  • 4/26/2024 12:00:00 AM

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Relationship Manager
  • NTNL BK OF COXSACKIE
  • Cohoes, NY
  • Job Description Job Description NBC’s Relationship Manager is stimulating, challenging, and offers the opportunity for g...
  • 4/26/2024 12:00:00 AM

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Sales Executive
  • City Lifestyle
  • Schenectady, NY
  • Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
  • 4/25/2024 12:00:00 AM

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Market Sales Manager - Albany, NY
  • BLC BACKLOTCARS Inc
  • Albany, NY
  • Who We Are: At OPENLANE we make wholesale easy so our customers can be more successful. We’re a technology company build...
  • 4/25/2024 12:00:00 AM

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Commercial Relationship Manager
  • Arrow Financial Corporation
  • Latham, NY
  • The Arrow Financial Corporation Family of Companies is seeking dynamic, authentic individuals to join our amazing team! ...
  • 4/25/2024 12:00:00 AM

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Territory Manager - Manhattan, NY
  • US Foods, Inc.
  • New York, NY
  • ESSENTIAL DUTIES AND RESPONSIBILITIES • Foster the customer relationship in a team based selling model. • Manage deliver...
  • 4/25/2024 12:00:00 AM

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Territory Manager - Patchogue, NY
  • US Foods, Inc.
  • New York, NY
  • ESSENTIAL DUTIES AND RESPONSIBILITIES • Foster the customer relationship in a team based selling model. • Manage deliver...
  • 4/24/2024 12:00:00 AM

A
Insurance Customer Service Representative
  • Ancora Risk
  • Albany, NY
  • Job Description Job Description Insurance Customer Service Representative Responsibilities Answer incoming call question...
  • 4/22/2024 12:00:00 AM

Schenectady (/skəˈnɛktədi/) is a city in Schenectady County, New York, United States, of which it is the county seat. As of the 2010 census, the city had a population of 66,135. The name "Schenectady" is derived from a Mohawk word, skahnéhtati, meaning "beyond the pines". Schenectady was founded on the south side of the Mohawk River by Dutch colonists in the 17th century, many from the Albany area. They were prohibited from the fur trade by the Albany monopoly, which kept its control after the English takeover in 1664. Residents of the new village developed farms on strip plots along the rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$102,109 to $147,293
Schenectady, New York area prices
were up 1.5% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019