Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Head of Government Relations
Arlington, VA · On-site
$250 - $350/hr
This position will select and directly manage external advising and lobbying parties, requiring the ... contracting, policy planning, or similar arenas. This role reports to Cape's Head of Federal and ...
Head of Government Relations
Arlington, VA · On-site
$250 - $350/hr
This position will select and directly manage external advising and lobbying parties, requiring the ... contracting, policy planning, or similar arenas. This role reports to Cape's Head of Federal and ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
This position will select and directly manage external advising and lobbying parties, requiring the ... contracting, policy planning, or similar arenas. This role reports to Cape's Head of Federal and ...
This position will select and directly manage external advising and lobbying parties, requiring the ... contracting, policy planning, or similar arenas. This role reports to Cape's Head of Federal and ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience * Proven planning, preparation and presenting skills ...
Customer Relations Representative - State Farm Agent Team Member
Marion, VA · On-site
$35K - $75K/yr
... manage the risks of everyday life, recover from the unexpected and realize their dreams. We are ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Marion, VA · On-site
$35K - $75K/yr
... manage the risks of everyday life, recover from the unexpected and realize their dreams. We are ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Ridgeway, VA · On-site
$35K - $41K/yr
... manage the risks of everyday life, recover from the unexpected and realize their dreams. We are ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Ridgeway, VA · On-site
$35K - $41K/yr
... manage the risks of everyday life, recover from the unexpected and realize their dreams. We are ... Retirement planning State Farm agents are independent contractors who hire their own employees.
This individual manages relationships with existing employers and identifies and seeks out new ... Pay Transparency Nondiscrimination Provision The contractor will not discharge or in any other ...
This individual manages relationships with existing employers and identifies and seeks out new ... Pay Transparency Nondiscrimination Provision The contractor will not discharge or in any other ...
Customer Relations Representative - State Farm Agent Team Member
Midlothian, VA · On-site
$50K - $70K/yr
Manage customer inquiries and resolve issues. Maintain customer records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Midlothian, VA · On-site
$50K - $70K/yr
Manage customer inquiries and resolve issues. Maintain customer records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Contractor Program Manager / Project Integrator Position Type: Full-Time, Exempt Work Location ... labor relations, and personnel information systems. * Experience expediting international and ...
Contractor Program Manager / Project Integrator Position Type: Full-Time, Exempt Work Location ... labor relations, and personnel information systems. * Experience expediting international and ...
Customer Relations Representative - State Farm Agent Team Member
Alexandria, VA · On-site
$45K - $50K/yr
Responsibilities include managing customer inquiries and resolving issues, maintaining customer ... State Farm agents are independent contractors who hire their own employees. State Farm agents ...
Customer Relations Representative - State Farm Agent Team Member
Alexandria, VA · On-site
$45K - $50K/yr
Responsibilities include managing customer inquiries and resolving issues, maintaining customer ... State Farm agents are independent contractors who hire their own employees. State Farm agents ...
Project Manager
Arlington, VA · On-site
The Project Manager serves as the designated representative of the contractor, holding authority to ... relations requirements of the facility. Act as the Contractor's representative at the facility ...
Project Manager
Arlington, VA · On-site
The Project Manager serves as the designated representative of the contractor, holding authority to ... relations requirements of the facility. Act as the Contractor's representative at the facility ...
Customer Relations Representative - State Farm Agent Team Member
Louisa, VA · On-site
$50K - $70K/yr
Manage customer inquiries and resolve issues. * Maintain client records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Louisa, VA · On-site
$50K - $70K/yr
Manage customer inquiries and resolve issues. * Maintain client records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Herndon, VA · On-site
$55K - $80K/yr
Manage customer inquiries and resolve issues. * Maintain customer records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Customer Relations Representative - State Farm Agent Team Member
Herndon, VA · On-site
$55K - $80K/yr
Manage customer inquiries and resolve issues. * Maintain customer records and update information as ... Retirement planning State Farm agents are independent contractors who hire their own employees.
Contractor Relations Manager information
What is a contractor relations manager?
Contractor Relations Managers are professionals responsible for overseeing and managing the relationships between a company and its independent contractors or vendors. They ensure that contracts are properly negotiated, executed, and maintained, while also addressing any issues that arise during the course of the business relationship. Their role often involves communication, conflict resolution, and ensuring compliance with company policies and legal requirements. By fostering positive relationships, they help ensure smooth operations and successful project outcomes.
What are the key skills and qualifications needed to thrive as a contractor relations manager?
To thrive as a Contractor Relations Manager, you need strong contract management, negotiation, and analytical skills, usually supported by a bachelor's degree in business or a related field. Familiarity with contract management software, CRM systems, and compliance tools is typically required. Exceptional interpersonal, conflict resolution, and communication skills help build trust and productive relationships with contractors. These abilities are crucial for ensuring successful partnerships, minimizing risk, and maintaining high-quality project outcomes.
How does a contractor relations manager typically collaborate with internal teams to ensure project success?
A Contractor Relations Manager works closely with project managers, procurement, and legal teams to align contractor activities with company objectives. They facilitate clear communication between contractors and stakeholders, address any issues that arise, and ensure compliance with contractual terms. Regular meetings, progress updates, and joint problem-solving sessions are common practices. This collaborative approach helps maintain strong working relationships and ensures that projects stay on track and within budget.
What is the difference between Contractor Relations Manager vs Contract Specialist?
| Aspect | Contractor Relations Manager | Contract Specialist |
|---|---|---|
| Required Credentials | Bachelor's degree, experience in vendor or contractor management | Bachelor's degree, knowledge of contract law and procurement processes |
| Work Environment | Client-facing, relationship management, strategic planning | Administrative, contract review, compliance monitoring |
| Employer & Industry Usage | Construction, manufacturing, government agencies | Corporate, government, healthcare sectors |
| Common Search & Comparison Intent | Understanding roles in contractor management | Understanding contract administration and procurement |
The Contractor Relations Manager focuses on building and maintaining relationships with contractors, overseeing performance, and ensuring contractual compliance. In contrast, the Contract Specialist primarily handles contract drafting, review, and compliance from an administrative perspective. Both roles require knowledge of contracts but serve different functions within organizations.
What are popular job titles related to Contractor Relations Manager jobs in Virginia?
For Contractor Relations Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Contractor Relations Manager jobs in Virginia look for?
The top searched job categories for Contractor Relations Manager jobs in Virginia are:
What cities in Virginia are hiring for Contractor Relations Manager jobs?
Cities in Virginia with the most Contractor Relations Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Humana rating
8.0
Based on 266 frontline employees who took The Breakroom Quiz
166th of 310 rated insurance
Job description
Become a part of our caring community
The Provider Relations Representative (Provider Engagement Professional) is responsible for day-to-day front line relationship management of network providers in Humana's Healthy Horizons in Virginia Medicaid network. This role supports provider onboarding, training, education, and inquiry/issue support resolution. This role specifically supports long-term services and supports (LTSS) and home and community-based services (HCBS) providers and must be based in Virginia. The individual in this role should have critical thinking/problem solving skills, understanding of health plan operations, and strong interpersonal skills.
Use your skills to make an impact
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
The Provider Relations Representative (Provider Engagement Professional) is responsible for day-to-day front line relationship management of network providers in Humana's Healthy Horizons in Virginia Medicaid network. This role supports provider onboarding, training, education, and inquiry/issue support resolution. This role specifically supports long-term services and supports (LTSS) and home and community-based services (HCBS) providers and must be based in Virginia. The individual in this role should have critical thinking/problem solving skills, understanding of health plan operations, and strong interpersonal skills.
Serve as primary relationship manager with assigned LTSS and HCBS providers to ensure positive provider experience with Humana Healthy Horizons and promote network retention
Meet regularly, both in person and virtually, with assigned providers to conduct training and education, including, but not limited to, required annual trainings, periodic updates to and/or reviews of Humana policies and procedures, and Humana systems training and updates
Support newly assigned providers with onboarding, including hosting orientation session(s)
Respond to assigned provider inquiries and support prompt issue resolution, including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals)
Work with internal resources and systems (e.g., claims, reimbursement, provider enrollment) to provide Exceptional Experience in all provider interactions
Create provider trainings based on provider feedback, trends in claims or process changes
Educate provider on location and content of all provider facing materials (Orientation, Provider Manual, Newsletter, Program Updates, Etc.)
Convene regular meetings with providers, including organizing agendas, materials, meeting minutes, other team members (clinical, provider engagement), to discuss key operational, clinical, and quality related topics
Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record management, Availity, Quality resources, and member resources
Communicate updates on Humana's policies and procedures and Cardinal Care programmatic updates
Coordinate regional provider townhalls and/or trainings
Attend Network Meetings/Conferences
Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as timeframes for claims dispute resolution, provider complaints, provider inquiry response, etc
Use your skills to make an impact
Required Qualifications
Must reside in Virginia (SW region includes, Lee, Wise, Washington and Galax)
Bachelors degree OR 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience
Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies
Demonstrated ability to manage multiple projects and meet deadlines
Preferred Qualifications
Master's Degree
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Comprehensive knowledge of Medicare policies, processes and procedures
Experience with Medicaid electronic visit verification (EVV)
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961