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Manager Of Provider Relations Jobs in Arizona (NOW HIRING)

Arizona Priority Care

Provider Relations Rep

Chandler, AZ · Hybrid

$60K - $65K/yr

Ensures Provider Relations department goals are achieved as assigned, improve quality and business processes for assigned territory of responsibility. * Manages qHMO, AZ Connect, EzNet and other AZPC ...

Troon

Member Relations Director

Flagstaff, AZ · On-site

... golf and community management. The Director of Membership and Communications serves as the ... Realtor relations, and presence/participation in member events. * Seamlessly integrates with the ...

Career Search

Owner Relations Manager

Sedona, AZ

Join our team as an Owner Relations Manager at Sedona.org! We're seeking a dynamic, hard-working ... This key team player will serve as a primary point of contact and will be expected to provide ...

Career Search

Owner Relations Manager

Sedona, AZ · On-site

Join our team as an Owner Relations Manager at Sedona.org! We're seeking a dynamic, hard-working ... This key team player will serve as a primary point of contact and will be expected to provide ...

Career Search

Owner Relations Manager

Scottsdale, AZ · On-site

The Owner Relations Manager is responsible for overseeing a portfolio of 75-150 clients, with an ... This key team player will serve as a primary point of contact and will be expected to provide ...

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Career Search

Owner Relations Manager

Scottsdale, AZ · On-site

The Owner Relations Manager is responsible for overseeing a portfolio of 75-150 clients, with an ... This key team player will serve as a primary point of contact and will be expected to provide ...

New

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Manager Of Provider Relations information

What does a manager of provider relations do?

A Manager of Provider Relations is responsible for building and maintaining positive relationships between a healthcare organization, such as an insurance company or hospital, and its network of providers, including doctors, clinics, and hospitals. Their duties often include negotiating contracts, resolving issues between providers and the organization, ensuring that providers meet quality and compliance standards, and helping to streamline communication. They play a crucial role in ensuring that patients have access to high-quality care through a reliable network of providers.

How does a manager of provider relations typically collaborate with healthcare providers and internal teams to resolve issues?

A Manager of Provider Relations serves as a key liaison between healthcare providers and the organization, working closely with providers to address concerns related to contracts, billing, and service quality. They frequently coordinate with internal departments such as claims, credentialing, and customer service to ensure providers receive timely support and consistent communication. This role often involves facilitating meetings, addressing escalated issues, and implementing solutions to enhance provider satisfaction and network performance. Strong relationship-building and problem-solving skills are essential, as managers must balance organizational goals with the needs of providers.

What are the key skills and qualifications needed to thrive as a manager of provider relations, and why are they important?

To thrive as a Manager of Provider Relations, you need a solid background in healthcare administration, contract negotiation, and relationship management, often supported by a bachelor's degree in healthcare or business. Familiarity with provider network management systems, claims processing software, and regulatory compliance tools is essential. Outstanding interpersonal skills, problem-solving abilities, and strong communication help you build trust and effectively resolve provider issues. These skills are crucial for maintaining productive provider partnerships, ensuring regulatory compliance, and supporting organizational goals in a competitive healthcare landscape.

What is the difference between Manager Of Provider Relations vs Provider Relations Coordinator?

AspectManager Of Provider RelationsProvider Relations Coordinator
CredentialsBachelor's degree, experience in healthcare or provider managementAssociate's or Bachelor's degree, entry-level experience
Work EnvironmentOversees teams, strategic planning, client interactionsSupports provider relations, administrative tasks, communication
Employer & Industry UsageHealth insurance companies, healthcare providersHealthcare organizations, insurance companies

The Manager Of Provider Relations typically holds more experience and handles strategic management and team oversight, while the Provider Relations Coordinator focuses on supporting provider communication and administrative duties. Both roles are essential in healthcare and insurance settings, but differ mainly in scope and responsibility.

What are the most commonly searched types of Of Provider Relations jobs in Arizona?

The most popular types of Of Provider Relations jobs in Arizona are:

What are popular job titles related to Manager Of Provider Relations jobs in Arizona?

For Manager Of Provider Relations jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Manager Of Provider Relations jobs in Arizona look for?

The top searched job categories for Manager Of Provider Relations jobs in Arizona are:

What cities in Arizona are hiring for Manager Of Provider Relations jobs?

Cities in Arizona with the most Manager Of Provider Relations job openings:

Manager Of Provider Relations jobs near you

Provider Relations Coordinator

Arizona Priority Care

Chandler, AZ • Hybrid

$24 - $25.50/hr

Full-time

Posted yesterday

New

Job description

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 14 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.

The Provider Relations Coordinator provides support and assistance to the Provider Relations (PR) Department Management and Representatives. Prepares reports for Provider Relations Representatives to ensure consistent productivity within their daily schedules. Assists the Senior Provider Relations Coordinator in special projects, distribution of educational materials and problem-solving provider issues. Maintains a professional, positive and caring attitude at all times.

POSITION DUTIES & RESPONSIBILITES

· Demonstrates an in-depth knowledge of provider networks and provider's needs; demonstrates ability to build strong, positive provider relationships; serves as expert consultant and resource to team members in identifying and resolving provider issues by demonstrating a high level of customer service.

· Manages and promotes provider satisfaction through ensuring proactive service, support and education.

· Assists with the distribution of incoming faxes.

· Assists with the management and distribution of incoming emails to PR department mailbox.

· Prepares provider reference and training materials for Provider Relations Representatives to distribute to the network.

· Prepares Monthly PR packet for distribution to the participating PCP & specialist network.

· Assists in the coordination and implementation of provider related activities such as Office Manager Meetings, Provider Dinners and HCC Universities, etc.

· Participates and assists in special projects, which may include HCC AWV program and Claims Issue Tracking Log.

· Updates visitation tracker on a weekly basis and scans Visit Forms into the H Drive.

· Update PR Rep Assignment Log on a weekly basis to include but not limited to PCP membership, Department Engagement level and current PR Rep assignment.

· Prepare timely reports for PR representatives' meetings based on calendar entries including but not limited to: Out of Network (OON) Lab, Claim Denial for No Auth, No PCP/AWV, Recapture, Member Eligibility, etc.

· Frequent communication with Senior PR Coordinator to ensure thorough completion of daily task expectations.

· Scans all PR Department Forms into the H Drive for accessibility by the team.

· Distribution of monthly packet to provider network as assigned.

· Other duties as assigned.

EDUCATION, TRAINING AND EXPERIENCE

· Associates Degree or related equivalent experience – Required.

· Prior experience with Physician Network Contracting and Provider Relations.

· Proficient in office equipment (computers, printers, etc.) and Microsoft Office programs (Word, Excel, outlook and Power Point).

· Ability to maintain confidentiality; and ability to multi-task in a high stress environment.

· Excellent written and verbal communication skills.

· Must be able to interact with providers in a professional manner with a strong commitment to positively representing the company.

**This role requires FT in-office presence for the first 60 days of employment, hybrid options available after the initial 60-day period.**

Compensation range: The hourly range for this position is: $24– $25.50.