Also referred to as:
Provider Network Relations Senior Manager
Requirements and Responsibilities
Provider Relations Senior Manager oversees and manages the team responsible for developing and maintaining service relationships with physicians, providers, and administrators of a provider network. Analyzes feedback from network stakeholders to survey satisfaction and facilitate communication. Being a Provider Relations Senior Manager responds to inquiries about referrals, eligibility, credentialing, and other policy matters. Tracks and documents inquiries to ensure issues are resolved in a timely manner and adhere to applicable policies and procedures. Additionally, Provider Relations Senior Manager trains healthcare providers and physicians on network operating policies and procedures to ensure optimal network service standards. Requires a bachelor's degree. Typically reports to a director. The Provider Relations Senior Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Provider Relations Senior Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments.
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