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)
At The Primary Health Network, we believe that every person deserves access to high quality healthcare services regardless of race, color, national origin, age, disability, sex or ability to pay. We pride ourselves on being a leader among community health centers and are committed to innovation that will improve the lives of our patients.We are seeking a full-time family physician to provide the full range of out-patient comprehensive medical care to patients at our site located in Punxsutawney, PA.
Please visit our website at www.primary-health.net and view our provider recruitment video that is located under Careers/Provider Openings.
Practice Information:Primary Health Network (PHN) is a Federally Qualified Health Center that is TJC accredited. We are celebrating our 36th year of embracing excellence in healthcare. At Primary Health Network we strive to assist our patients toward a fuller, healthier lifestyle. That is why we offer health education, free pregnancy tests and blood pressure screenings at all our medical sites. PHN accepts all patients regardless of their insurance or financial status and offer the sliding fee scale to all income eligible uninsured or under-insured patients based on annual household income along with a 340b drug pricing program.
Requirements to include:COVID Vaccination required;Board Certified or Board Eligible in Family Medicine; Current PA License; Current DEA License; Knowledge of Electronic Health Records; Ability to provide quality, comprehensive, continuity of medical care in a compassionate manner with minimum supervision.
Benefits:Full benefit package to include: Competitive salary commensurate with experience and yearly bonus potential based on quality and productivity; Eligibility for State & Federal Loan Repayment; FTCA Malpractice Coverage; Flexible scheduling; Vacation/Sick/Holiday/CME time off; Health/Dental/Vision Coverage; 403B Retirement Program; Disability & Life Insurance; Signing Bonus; Relocation Expenses; CME Allowance; Payment of Societal & Membership Dues, License, DEA, etc.
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