Managed Care Provider Relations Manager manages and maintains service relationships with physicians, providers, and administrators of a provider network. Implements and oversees the credentialing and orientation process to ensure healthcare providers understand and adhere to network operating policies and procedures. Being a Managed Care Provider Relations Manager analyzes feedback from network stakeholders to survey satisfaction and facilitate communication. Reviews provider inquiries about referrals, eligibility, credentialing, and other policy matters and resolves complex issues. Additionally, Managed Care Provider Relations Manager evaluates provider relationships to assist with recruiting and contracting healthcare providers into the network. Requires a bachelor's degree. Typically reports to a director. 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. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Overview
We are a leading homecare business (operating 20 years) with a mission to deliver high-quality, compassionate care to seniors, veterans and other individuals who need assistance with daily living activities. Our services are designed to enhance the quality of life for our clients, offering them the dignity, respect, and independence they deserve. We are dedicated to becoming the #1 senior care brand in Cincinnati and Northern KY.
We are seeking a dynamic and results-oriented Business Manager to lead our team and drive our business initiatives. The ideal candidate will possess strong leadership skills and a strategic mindset, with a proven track record in project management and business development. This role is crucial for overseeing operations, enhancing process improvements, and ensuring profitability while fostering a collaborative work environment.
Responsibilities:
Leadership and Management:
Operational Oversight:
Business Development:
Client and Care Management:
Compliance and Quality Assurance:
Qualifications:
Education: Bachelor’s degree in Business Administration, Healthcare Management, or a related field.
Experience:
Skills:
If you are passionate about driving business success through effective management practices, we encourage you to apply for this exciting opportunity as a Business Manager.
Job Type: Full-time
Pay: $80,000.00 - $100,000.00 per year
Benefits:
Schedule:
Experience:
Ability to Commute:
Ability to Relocate:
Work Location: In person