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)
Position Summary:
An exciting business development opportunity to work with a group of thought leaders and game changers in the mental-health and addiction field! Ellenhorn’s referral relations manager engaged in clinical outreach will be responsible for building new clinical and business relationships, as well as maintaining and fostering existing relationships. We are seeking an energetic, efficient and enthusiastic individual who excels at working independently as well as being part of a larger marketing team. Ellenhorn has three locations (Boston, New York, and Los Angeles), and an ideal referral relations manager should be knowledgeable about each area and be able to keep the big picture in mind. It’s your chance to see new places and meet new people, all while educating others about the groundbreaking Ellenhorn model and philosophy.
Qualifications Required:
Success Factors/Job Competencies:
Essential Functions and Responsibilities:
Build market position by locating, developing, educating and maintaining business relationships. These relationships would be both with individual clinicians and consultants as well as institutions of stature. Job duties include:
0 Managed Care Provider Relations Manager jobs found in Waco, TX area