Managed Care Provider Relations Manager jobs in Toledo, OH

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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Employee Relations Specialist
  • Frontline Managed Services
  • Maumee, OH FULL_TIME
  • Description

      

    Welcome to Frontline Managed Services® – where innovation, technology, and efficiency converge to redefine the landscape of IT, Financial, and Administrative Managed Services for legal and professional service firms. As pioneers in the industry, we are driven by a relentless commitment to excellence.


     Join Our Team and Be a Catalyst for Change!

    We don't just follow industry standards; we set them. Our dynamic environment thrives on pushing boundaries and embracing challenges. We are more than a workplace; we are a community of forward-thinkers dedicated to shaping the future.


    Position Overview

    •  Advise supervisors and managers on identifying, evaluating, and resolving employee performance issues. Guide managers and supervisors on administering progressive discipline. Ensure consistent treatment of employees and provide coaching to managers on the corrective action process. Review and edit Employee Counseling Notices prior to delivery to employees.
    • Conduct prompt and thorough investigations of employee complaints and make recommendations on appropriate resolutions in accordance with company policy, practices, and procedures. Will work with managers and employees to resolve diverse employee relations issues such as harassment, discrimination, etc. Consistently document investigation and results.
    • Advise employees and management on the interpretation of personnel policies, programs, and procedures. Communicate and ensure understanding by managers and employees of relevant laws and regulations and answer non-standard questions by managers and employees as needed.
    • Provide advice, consultation, and guidance to support a positive employee relations environment.
    • Review and assist managers with the content of performance evaluations, including coaching managers in delivering effective feedback to successfully complete performance evaluations. Ensure probationary and annual performance evaluations are completed in a timely manner.
    • Assist in, manager onboarding training relating to all areas of Human Resources.
    • Conduct ongoing employee surveys, including engagement surveys, stay interviews and exit interviews. Run monthly and quarterly reports. Analyze information to identify recurring themes and areas to address.
    • Completes unemployment claims processing and coordinates information processing with the various States where the company does business.
    • Assist with other Human Resources and Talent Acquisition initiatives as assigned.

    Requirements

      

    Qualifications:

    • Combination of education and experience equal to bachelor’s degree in human resources or related field.
    • PHR certification designation or the ability to attain such professional status within one year of hire.
    • 2-4 years of progressively responsible experience in the Human Resources field.
    • Demonstrated skills in researching and/or resolving employee relation situations, including investigation techniques.
    • Knowledge of applicable state and federal employment and labor laws and government compliance requirements.
    • Strong presentation skills and facilitation experience.
    • Demonstrated proficiency with desktop computers, a working knowledge of the MS Office Suite of software, and the ability to use a broad range of job-related software including presentations applications.

    It's not expected that any single candidate would have expertise across all these areas. If you believe you meet a majority and are excited to learn what you do not already know, Please Apply!


    “We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.”

  • 17 Days Ago

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Resident Care Provider
  • Trustwell Living at Clyde Gardens Place
  • Fremont, OH FULL_TIME
  • POSITION SUMMARY: Responsible for Resident services and other duties as assigned, and the appropriate delegation of duties to the other staff and volunteers. Duties include personal services housekeep...
  • 1 Month Ago

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STNA/ Provider/Housekeeping
  • Heritage Corner Health Care Campus
  • Bowling Green, OH PART_TIME
  • Heritage Corner is a beautiful home like assisted living facility located in Bowling Green, OH. Looking for STNAs, CNA, NA, to add to our team.Job Duties include but not limited to: Housekeeping of cl...
  • 5 Days Ago

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Home Care Provider with Weekly Pay
  • Cornerstone Caregiving
  • Monroe, MI FULL_TIME,PART_TIME
  • Cornerstone Caregiving is committed to providing exceptional care to individuals in need. Our caregivers are highly trained and compassionate, with a passion for making a positive impact in the lives ...
  • 17 Days Ago

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Account Manager - Client Relations
  • Yellowstone Landscape
  • Toledo, OH FULL_TIME
  • Are you interested in joining a dynamic and growing business that values the unique aspirations of its employees, encourages progressive practices and offers the opportunity to provide customized and ...
  • 27 Days Ago

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Manager - Supplier Relations Government
  • Concordance Healthcare Solutions LLC
  • Tiffin, OH FULL_TIME
  • DescriptionAt Concordance Healthcare Solutions, we believe that each team member makes a difference in driving our purpose of positively impacting lives forward. Concordance is committed to our guidin...
  • 27 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Toledo, OH area

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Client Relationship Manager
  • Ernest
  • Trenton, MI
  • Ernest is currently in search of a Client Relationship Manager (outside B2B sales) for our territory located in Trenton,...
  • 5/30/2024 12:00:00 AM

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Customer Relations Manager for certification activities
  • UTAC
  • Northville, MI
  • Company Description UTAC, a leading group in the fields of digital and sustainable mobility, customised test solutions a...
  • 5/30/2024 12:00:00 AM

8
Outside Sales Rep With Construction Industry Exp.
  • 84 Lumber
  • Maumee, OH
  • The Outside Sales Representative (“OSR”) will customarily and regularly sell products and services offered by 84 Lumber ...
  • 5/28/2024 12:00:00 AM

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Administrative Assistant
  • William Vaughan Company
  • Holland, OH
  • William Vaughan Company is helping in the search for an Administrative Assistant for a General Contractor based in Holla...
  • 5/28/2024 12:00:00 AM

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Geotechnical Engineer - Toledo
  • Bowser-Morner Inc
  • Toledo, OH
  • Job Description Job Description Position Overview Bowser-Morner has an exciting opportunity for a Geotechnical Engineer ...
  • 5/28/2024 12:00:00 AM

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Tax Senior
  • Gpac
  • Toledo, OH
  • Job Description A Top CPA firm in the area is looking to add an experienced Tax Senior to their team. This stable and gr...
  • 5/27/2024 12:00:00 AM

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Marketing Specialist
  • Critical Business Analysis, Inc.
  • Perrysburg, OH
  • Job Description Critical Business Analysis, Inc. in Perrysburg, OH is seeking a full-time Marketing Specialist to assist...
  • 5/26/2024 12:00:00 AM

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Sales Executive
  • City Lifestyle
  • Toledo, OH
  • Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
  • 5/26/2024 12:00:00 AM

Toledo (/təˈliːdoʊ/) is a city in and the county seat of Lucas County, Ohio, United States. Toledo is in northwest Ohio, at the western end of Lake Erie bordering the state of Michigan. The city was founded in 1833 on the west bank of the Maumee River, and originally incorporated as part of Monroe County, Michigan Territory. It was re-founded in 1837, after conclusion of the Toledo War, when it was incorporated in Ohio. After the 1845 completion of the Miami and Erie Canal, Toledo grew quickly; it also benefited from its position on the railway line between New York City and Chicago. The first...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$97,689 to $140,921
Toledo, Ohio area prices
were up 1.3% from a year ago

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