Managed Care Provider Relations Manager jobs in Minnesota

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)

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Medical Care Coordinator
  • Compass Medical Provider, LLC
  • Cottage Grove, MN CONTRACTOR,FULL_TIME
  • Compass Medical Provider is looking for a Medical Care Coordinator to support the Minnesota Army National Guard.

    Position Summary:

    Care Coordinator personnel will be responsible for coordinating and monitoring of medical and dental treatment plans with soldiers for the National Guard.

    Requirements listed below are representative of the knowledge, skill, and/or ability required to be employed for this position.

    Administrative charting - Employee will ensure all administrative charting is completed and reviews are conducted monthly to ensure that every Soldier with a need is being tracked, managed, and communicated with at a minimum of every 30 days.

    Assist Soldiers in scheduling appointments with appropriate facilities for a mass event and assist with the national voucher vendor.

    Communicate with delegated government personnel to track compliance versus noncompliance.

    Monitor designated medical readiness databases to ensure all scheduled services are completed/updated and current medical status is reflected.

    Attend PHA events as determined by the needs of the state and the individual units.

    Prepare for and/or document team case meetings as directed by the case management team and/or DSS and State Dental Officer

    Follow the regulations and policies applicable to Individual Medical Readiness (IMR) and deployment

    Maintain Soldier medical records in accordance with Army Regulation (AR) 40-66.

    Obtain release of information from Soldier.

    Maintain Health Insurance Portability and Accountability Act of1996 (HIPAA) standards and guidelines.

    Upload medical/dental documents .

    Provide all documents received for case management to SSO office

    Obtain a working knowledge of Military dynamics and organizational management.

    Minimum Experience:

    6 years experience working in a healthcare setting. An ideal candidate would have some knowledge in healthcare and basic of dental practices.

    Proven work experience as a team leader or supervisor.

    Excellent communication, leadership, organizational and time-management skills.

    Requirements

    Security – Must be able to pass a national security background check for access into military electronic systems.

    Possess the required technical skills and expertise to perform the above responsibilities with minimal guidance.

    Must be proficient in Microsoft Word, Excel, PowerPoint, and Outlook, and have a working knowledge of desktop computer operations.

    Prefer additionally:

    Prior active duty or military contracting experience preferred

    Must have experience working with confidential, detailed processes. Excellent organizational and customer service skills.

    Compass Medical Provider takes great pride in assisting the National Guard with soldiers Health and Dental needs.

    Job Types: Full-time, Contract

    Pay: From $27.00 per hour

    Expected hours: 40 per week

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • Weekends as needed

    Work setting:

    • In-person

    Experience:

    • Medical administrative support: 2 years (Preferred)

    Language:

    • English (Preferred)

    Ability to Relocate:

    • Cottage Grove, MN: Relocate before starting work (Required)

    Willingness to travel:

    • 25% (Preferred)

    Work Location: In person

  • 1 Month Ago

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Managed Care Contract Manager - Human Services Program Representative 2
  • State of Minnesota
  • Saint Paul, MN FULL_TIME
  • When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives. Job Details Working Title: Managed Care Contra...
  • 18 Days Ago

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Healthcare Director - Managed Care
  • Minnesota Oncology
  • Cottage Grove, MN FULL_TIME
  • Overview: MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the hea...
  • 8 Days Ago

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Director of Managed Care
  • US Oncology Network-wide Career Opportunities
  • Saint Paul, MN FULL_TIME
  • Overview MINNESOTA ONCOLOGY Minnesota Oncology offers its employees an exciting, fast-paced, and challenging work environment. We are currently looking for a registered nurse with passion for the heal...
  • 2 Months Ago

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Children’s Therapeutic Services and Supports Program Manager
  • South Central Human Relations Center, Inc
  • Owatonna, MN FULL_TIME
  • SCHRC is a local mental health clinic that provides a comprehensive range of mental health care services for adults and children. We became a Certified Community Behavioral Health Clinic (CCBHC) in 20...
  • 20 Days Ago

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Children’s Mental Health Case Manager
  • South Central Human Relations Center, Inc
  • Owatonna, MN FULL_TIME
  • Title: Children’s Mental Health Case ManagerDepartment: Family Case Management Reports To: SCHRC Director of Children's Services/Children’s Services Supervisor SUMMARY DEFINITION: The case manager is ...
  • 23 Days Ago

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Relationship Manager
  • TCS Equipment Finance
  • Draper, UT
  • TCS Relationship Manager – Job Description TCS Equipment Finance is a leading private equipment financing company in the...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • MAX Surgical Specialty Management
  • We are seeking a motivated and dynamic individual to join our marketing team as a Relationship Manager. The ideal candid...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • MAX Surgical Specialty Management
  • New Brunswick, NJ
  • We are seeking a motivated and dynamic individual to join our marketing team as a Relationship Manager. The ideal candid...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • Claire Myers Consulting
  • Wichita Falls, TX
  • Our client is a dynamic, boutique wealth management firm with a mission to educate the community on all things financial...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • Western Alliance Bancorporation
  • Houston, TX
  • Job Title: Relationship Manager Location: Houston, TX What you'll do: As a Relationship Manager you'll be responsible fo...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • The Alliance Corporate Office
  • Burlington, NC
  • Job Description Job Description We are looking for an outgoing relationship manager to foster strong relationships with ...
  • 5/13/2024 12:00:00 AM

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Relationship Manager
  • East West Bank
  • Rowland Heights, CA
  • Introduction: Since 1973, East West Bank has served as a pathway to success. With over 120 locations across the U.S. and...
  • 5/11/2024 12:00:00 AM

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Relationship Manager
  • Wintrust Financial
  • Denver, CO
  • As one of the largest premium finance companies in the country, FIRST Insurance Funding provides full premium finance se...
  • 5/10/2024 12:00:00 AM

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$103,453 to $149,236

Managed Care Provider Relations Manager in Trenton, NJ
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