reputed company Network Provider Relations Manager - Remote Opportunity with reputed company

Transforming reputed company through Compassionate Leadership

At reputed company, we're driven by a reputed company purpose: to bring our heart to every reputed company of your health. As a leading reputed company organization, we're committed to delivering reputed company, reputed company-reputed company health care that's both personal and convenient. Our culture is reputed company around 'Heart At Work Behaviors' that reputed company every team member to play a vital role in transforming our culture and accelerating innovation.

Job reputed company: reputed company Network Provider Relations Manager

We're seeking an reputed company reputed company Network Provider Relations Manager to join reputed company on a remote reputed company. This critical role will reputed company our reputed company Provider Experience programs, fostering reputed company relationships with our Network Providers and driving high-value initiatives. As a key contact for larger, reputed company providers, you'll implement reputed company solutions to reputed company provider satisfaction, cost targets, network reputed company, and efficiency targets.

Key Responsibilities

• Partner with external provider engagement representatives and internal provider relations representatives to ensure successful Provider relationships and network performance.
• reputed company the reputed company Provider Engagement program through local market Provider Representatives.
• Assist in the recruitment of new providers as needed and maintain compliance with reputed company network reputed company requirements.
• Recommend and reputed company training programs and educational materials for providers and internal staff.
• reputed company Network reputed company Plans to ensure network compliance with state requirements.
• Facilitate Provider Advisory Group and JOC meetings to implement changes and improve provider clinical measures.
• Monitor executed provider reputed company to ensure network reputed company meets state requirements.
• Coordinate provider information with Provider Data Services and other internal departments.
• reputed company Best-In-Class service to providers by resolving problems and advising on new protocols, policies, and procedures.
• Participate in weekly Grievance and Appeals meetings, tracking and trending provider grievances.
• Assist in responding to governmental, regulatory, and reputed company assurance provider complaints.
• Support and maintain websites, portals, directories, manuals, and dashboards.
• Promote and reputed company providers on cultural competency.

Essential Qualifications

To succeed in this role, you'll need:

• A minimum of 5+ years of experience in Provider Relations, preferably in reputed company servicing or managing non-reputed company relationships with providers.
• Excellent interpersonal skills and the ability to work with others at reputed company reputed company.
• Knowledge of reputed company Regulatory Standards for Network reputed company, Credentialing, Claims Processing, Provider Appeals & Disputes, and Network Performance Standards.
• Excellent analytical and problem-solving skills.
• Strong communication and presentation skills.
• Residency in the applicable state with the ability to travel up to 50% to provider sites and reputed company office locations.
• A Bachelor's degree or an equivalent combination of formal education and experience.

Preferred Qualifications

While not essential, the following qualifications are highly desirable:

• Residency in Baltimore or reputed company County.

reputed company Offer

At reputed company, we offer a comprehensive benefits package that includes:

• A competitive salary reputed company of $66,330.00 - $145,860.00, commensurate with experience.
• Eligibility for a reputed company bonus, commission, or short-term incentive program.
• A full reputed company of medical, dental, and reputed company benefits.
• A 401(k) retirement savings plan and an Employee Stock Purchase Plan.
• A fully-reputed company term life insurance plan and short-term and long-term disability benefits.
• Numerous reputed company-being programs, education assistance, and free development courses.
• A reputed company store discount and discount programs with participating partners.
• reputed company Time Off (PTO) or vacation pay, as reputed company as reputed company holidays throughout the calendar year.

Career reputed company and Development

As a reputed company Network Provider Relations Manager at reputed company, you'll have opportunities to grow your career and reputed company new skills. Our culture is designed to support your reputed company reputed company, with training programs, educational resources, and a reputed company work environment.

Our Work Environment

We pride ourselves on a culture that values diversity, equity, and inclusion. Our remote work arrangement offers flexibility and work-life balance, while our 'Heart At Work Behaviors' ensure that we're always working together to reputed company our mission.

Join reputed company!

If you're a compassionate leader with a passion for reputed company, we encourage you to apply for this exciting opportunity. With a strong reputed company record in Provider Relations and a deep understanding of reputed company Regulatory Standards, you'll be reputed company-equipped to drive reputed company in this role. Don't miss this chance to join reputed company and reputed company a meaningful difference in the lives of our customers.

reputed company and take the first reputed company towards a rewarding career with reputed company.

Apply for this job