Provider Network Manager
Posted on :
31-08-2024
Employer Active
1 Vacancy
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Job Description
- Supervises a staff consisting of Network Management Associates both in house and remotely, and a Network Management Coordinator whose primary function is to provide provider support/education and interaction with contracted Health Plans (HMO and PPO)
- Responsible for managing network provider education of applicable policies and procedures
- Responsible for supervising daily provider inquiries, including capitation and reimbursement issues
- Assist in development of physician communication programs and strategy
- Responsible for maintaining strong relationships with contracted Health Plans (HMO and PPO) Communicates with payors and network providers, both orally and written, in association with operational and contractual related issues
- Oversees client related projects
Employment Type
Full Time
Company Industry
Department / Functional Area
Key Skills
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