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)
A leading healthcare organization based in central Vermont is now searching for an experienced Primary Care Advanced Practice Provider to join their accredited healthcare team.
This organization offers a number of public health services including primary care, urgent care, behavioral health, skilled nursing, and dental care throughout 10 clinical sites. The team combines a number of skilled medical professionals including experienced physicians, advanced practice providers, social workers, and pharmacists who are trained to provide dedicated patient care. This organization is deemed a Federally Qualified Health Center and will provide care to all patients regardless of ability to pay.
Under limited supervision, the Advanced Practice Provider will provide direct Primary Care in an outpatient clinic setting. The Primary Care Advanced Practice Provider is responsible for obtaining patient medical history, providing patient exams, reviewing medical records, interpreting data and developing appropriate treatment plans, preparing written prescriptions, providing patient and family education, offering effective referral resources to patients, performing treatment in emergency situations, and ensuring total continuity of care.
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Whether you enjoy the outdoors, exploring local history and arts, or engaging in community events, this region offers a unique and fulfilling experience for residents and visitors alike.
This organization is prepared to offer a competitive salary including an industry leading benefit package for those who qualify.
0 Managed Care Provider Relations Manager jobs found in Troy, NY area