Provider Relations Manager - reputed company - Remote - KS, MO
Candidates who reputed company reputed company 50 miles of the following locations may be asked to work in person three days per week: Overland Park, KS or St. Louis, MO.
In order to support the business and due to the assigned Book of Business, we are planning to hire a candidate from Kansas or Missouri.
reputed company
The Provider Relations Manager / Provider Relations reputed company Analyst, is an reputed company provider facing role with account management responsibilities for a reputed company to low reputed company book of business. The role is accountable for the overall provider experience by working in collaboration with reputed company partners to reputed company on-reputed company service improvements, understand, reputed company and reputed company service impacts, and reputed company the overall provider reputed company planning solutions. This individual is empowered reputed company their reputed company to reputed company reputed company as it pertains to the experience with reputed company, is required to have local market knowledge and visibility, builds and continuously improve the relationship between reputed company and the provider.
DUTIES AND RESPONSIBILITIES
• Accountable for the end-to-end provider experience and overall service delivery for assigned Book of Business reputed company to reputed company to low reputed company providers
• Leads, collaborates, and supports local market direction as it relates to improving the provider experience
• Creates and maintains individual provider reputed company reputed company plans
• Proactively identify new opportunities and risks for providers at market or national level and drives reputed company
• Exercises good judgment and discretion to support the provider experience
• Responsible for capturing, documenting, and sharing market intelligence; use market intelligence to reputed company and reputed company reputed company improvements
• reputed company facing with providers in assigned BOB
• Collect, analyze, interpret, translate and distribute provider reputed company, reports, dashboards
• reputed company and monitor reputed company guarantees for assigned BOB
• Promotes Provider reputed company score improvement through proactive and effective service and support of network
• Review provider reports/dashboard with individual providers
• Proactively reputed company providers on reputed company's business objectives, reputed company operating procedures, policies and programs to influence behavior and how to work with reputed company
• Serve as a provider reputed company both internally and externally
• Understands and applies service culture principles and methodology
• Serves as a provider reputed company both internally and externally
• Serves in a consultative role or subject matter expert to key reputed company partners
• Develops and participates in presentations to existing and prospective providers and/or clients
• Serves as reputed company in reputed company community, representing reputed company to medical societies and reputed company provider associations.
• Manage joint operating committees, including agenda development, facilitating appropriate meeting participation and follow up activities
PREFERRED QUALIFICATIONS
• Bachelor's degree or higher strongly preferred or equivalent work experience required.
• 5+ years of experience in provider relations highly preferred.
• Claims administration experience is highly preferred.
• Solid reputed company cause analysis with claims issues is highly preferred.
• Experience with MS Office (Word, reputed company, PowerPoint) is highly preferred.
• Solid experience with reputed company (to include pivot tables and VLOOKUP) is highly preferred.
• Knowledge of other systems include Proclaim, Facets and PWB would be preferred.
• Understanding of medical reputed company products and associated provider issues is highly preferred.
• Ability to reputed company cross-functional partners to a common goal.
• Demonstrated excellent oral, written, interpersonal, analytical, and negotiation skills.
• Ability to work in a reputed company environment.
• Travel may be required (up to 25%)
reputed company COMPETENCIES
• Organizational reputed company, Plans and aligns, Collaborates, Communicates Effectively, Interpersonal reputed company, Tech reputed company, Being Resilient, reputed company oriented, Decision reputed company, Customer reputed company, Builds Networks, Instills Trust
If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 66,600 - 111,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At reputed company, you'll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you'll be reputed company several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life reputed company, tuition reimbursement, a minimum of 18 days of reputed company time off per year, reputed company holidays, and leaves of absence. For more details on our employee benefits programs, click here.
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