Managed Care Provider Relations Manager jobs in Missouri

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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Managed Care Senior Project Manager (Springfield Missouri)
  • Mercy
  • Springfield, MO FULL_TIME
  • We’re a Little Different

     

    Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

    At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”


    Overview: Managed Care Senior Project Manager (Springfield Missouri)

     

    The Managed Care Senior Project Manager supports the ongoing operational strategies of the Managed Care department. In partnership with functional leaders, the Senior Project Manager is responsible for driving business readiness activities across multiple teams to ensure timely, high-quality implementation of new products, product expansions or major initiatives within Managed Care. This role will include being responsible for managing projects and implementations as assigned in order to maximize the efficiency of the Managed Care department. This involves collaboration with departments across the Ministry and escalating issues and concerns accordingly. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.


    Qualifications:

    • Experience: 5-7 years' experience in health care, preferably in managed care, either provider or health plan
    • - 2-5 years Program and/or project management experience
    • Required Education: Bachelor's degree
    • Other: Proficient in Microsoft Office products Preferred- Previous experience working with authorizations and denials, both hospital and professional- Previous experience with Electronic Medical Records, Epic experience a plus- Previous experience in process improvement initiatives related to the appeals process
    • Master's/graduate degree preferred

     

    We Offer Great Benefits:


    Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

     

    We’re bringing to life a healing ministry through compassionate care.


    At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.


    What Makes You a Good Match for Mercy?


    Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

     

  • 25 Days Ago

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Care Provider
  • Personal Care
  • Kansas, MO FULL_TIME
  • Care ProviderPersonal Care Home Health Care Services strives to distinguish ourselves from any other home care agency by providing genuine care to our clients. We do this in part by making sure we sel...
  • 8 Days Ago

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Care Provider
  • Personal Care
  • Ferguson, MO FULL_TIME
  • Care ProviderPersonal Care Home Health Care Services strives to distinguish ourselves from any other home care agency by providing genuine care to our clients. We do this in part by making sure we sel...
  • Just Posted

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Care Provider
  • Personal Care
  • Columbia, MO FULL_TIME
  • Care ProviderPersonal Care Home Health Care Services strives to distinguish ourselves from any other home care agency by providing genuine care to our clients. We do this in part by making sure we sel...
  • 26 Days Ago

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Care provider
  • Emily's Pet Care, LLC
  • Troy, MO FULL_TIME
  • Attention Pet Lovers in Troy, MO and surrounding areas! The pets in your area need someone they can trust to take care of them when their families are on vacation or at work. We are hiring responsible...
  • 20 Days Ago

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CPCS / CPMSM Managed Care Senior Project Manager (Remote)
  • Mercy
  • Chesterfield, MO FULL_TIME
  • The Managed Care Senior Project Manager supports the ongoing operational strategies of the Managed Care department. In partnership with functional leaders, the Senior Project Manager is responsible fo...
  • 6 Days Ago

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Relationship Manager
  • Ascensus
  • Greensboro, NC
  • Newport, an Ascensus company, helps employers offer their associates a more secure financial future through retirement p...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • GROVER GAMING
  • Elyria, OH
  • Job Description Job Description Job Title: Relationship Manager Department: Ohio Sales Reports To: Sales Manager Status:...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • Allium Financial Advisors, LLC
  • Lake Oswego, OR
  • Summary This position is responsible for partnering with Financial Advisors to help manage client relationships by perfo...
  • 6/10/2024 12:00:00 AM

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Relationship Manager
  • Flourish
  • New York, NY
  • Flourish was founded in 2017 with the goal of helping financial advisors to better secure the financial futures of their...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Wind River Payments
  • Madison, WI
  • As a Relationship Manager at Wind River Payments (WRP), you will thrive on building strong, long-term client relationshi...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Palmetto
  • Company Description Recognized by Forbes as one of the fastest-growing private companies in the United States, Palmetto ...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Valley Bank
  • Jacksonville, FL
  • Why you should consider applying to this opportunity: You're excited to build relationships with Commercial & Industrial...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Team Select Home Care
  • Evansville, IN
  • Overview: You can apply by texting TSC to 97211 Now offering DailyPay! Ask us about it! Are you looking for an exciting ...
  • 6/7/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$96,588 to $139,332

Managed Care Provider Relations Manager in Trenton, NJ
Rizk says McKesson has created a collegial relationship by reaching out to providers.
January 03, 2020
Managed Care Provider Relations Manager in Gary, IN
Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.
February 24, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019