How to Become a Managed Care Provider Relations Manager

Step 1: Understand the job description and responsibilities of a Managed Care Provider Relations Manager

What does a Managed Care Provider Relations Manager do?

A 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.

People's Opinions on Managed Care Provider Relations Manager responsibilities

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.

02/11/2020: Atlantic City, NJ

Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.

02/24/2020: Gary, IN

Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.

01/08/2020: Fort Wayne, IN

Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.

11/28/2019: Birmingham, AL

Rizk says McKesson has created a collegial relationship by reaching out to providers.

01/03/2020: Trenton, NJ
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Step 2: Learn best tips to become a Managed Care Provider Relations Manager

Best tips for those who want to become a Managed Care Provider Relations Manager

Here are some tips to become a Managed Care Provider Relations Manager.

Step 3: View best colleges and universities for Managed Care Provider Relations Manager

Best colleges and universities for Managed Care Provider Relations Manager

  • Butler University
  • Carroll College
  • Cooper Union
  • High Point University
  • Princeton University
  • Providence College

Step 4: Think about whether is it worth to be a Managed Care Provider Relations Manager

Is being a Managed Care Provider Relations Manager Worth it?

People's Opinions on lifestyles

2 years’ experience required in Provider Relations and/or Managed Care Product Administration.

01/02/2020: Everett, WA

Typically works with less complex providers which may include, but are not limited to, professional providers, practice groups, small medical groups, providers….

02/21/2020: Fayetteville, NC

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.

12/10/2019: Paramus, NJ

Many in the industry view the Davies survey as a negative, but rather than bash the findings, managed care companies should use the results to improve relationships with providers.

01/31/2020: Birmingham, AL

Reporting to the Managed Care Contracts Director, the Senior Provider Relations Specialist is responsible for negotiating complex hospital, medical group and ancillary contracts with a wide variety of managed care organizations and third-party payers.

02/27/2020: Minneapolis, MN
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Step 5: Prepare relevant skills for being a Managed Care Provider Relations Manager

What skills do you need to be a Managed Care Provider Relations Manager?

This role is not a beginner's role, as such, there are many skills required.  It is vital to the role to command: Provider Management.  Management isn't easy, if it were, everyone would have the competenticies to execute the role with success.

People's Opinions on Managed Care Provider Relations Manager skills

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.

02/12/2020: Helena, MT

Knowledge of managed care provider contracts/reimbursements, claims processing, provider billing and provider relations.

02/09/2020: Nassau, NY

2 years’ experience required in Provider Relations and/or Managed Care Product Administration.

02/21/2020: Anaheim, CA

Minimum of 3 years relevant work experience in Network Management, Contracting or Provider Relations in a managed care….

02/16/2020: Seattle, WA

Minimum 4 years’ experience in healthcare organization managed care contracting or within health insurance industry (provider relations, provider network….

01/06/2020: Eugene, OR
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Step 6: View average salary for Managed Care Provider Relations Manager

How much does a Managed Care Provider Relations Manager make?

The average salary range for a Managed Care Provider Relations Manager is from $91,585 to $133,536. The salary will change depending on your location, job level, experience, education, and skills.

Salary range for a Managed Care Provider Relations Manager
$91,585 to $133,536

Step 7: Find relevant Managed Care Provider Relations Manager jobs, and apply.

Looking for Managed Care Provider Relations Manager jobs?

Here are some Managed Care Provider Relations Manager jobs in the United States.

Search Managed Care Provider Relations Manager Jobs in the United States

Step 8: Explore Career Path of Managed Care Provider Relations Manager