| Managed Care Provider Relations Manager Job Description |
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| The following is a full job description for Managed Care Provider Relations Manager. Here are the requirements and responsibilities for Managed Care Provider Relations Manager along with statistics. If after reading this page you determine that Managed Care Provider Relations Manager is not the position you are looking for, you may want to try one of these similar titles: Provider Relations Representative, Employee Relations Manager, Public Relations Manager, Managed Care Marketing Manager, Managed Care Supervisor, Managed Care Coordinator, Managed Care Finance Director, Community Relations Senior Manager, Provider Relations Representative, Sr. |
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| Requirements and Responsibilities For 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. Serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. 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. Typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. |
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| Also referred to as: Physician Network Relationship Manager |
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| Similar Jobs: Provider Relations Representative, Employee Relations Manager, Public Relations Manager, Managed Care Marketing Manager, Managed Care Supervisor, Managed Care Coordinator, Managed Care Finance Director, Community Relations Senior Manager, Provider Relations Representative, Sr. |
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| Level of Education: Managed Care Provider Relations Manager Salaries with a Bachelor's Degree, Managed Care Provider Relations Manager Salaries with a Master's Degree or MBA, Managed Care Provider Relations Manager Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare | |
