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Provider Manager Jobs in Maryland (NOW HIRING)

On-Demand (OD) o Minimum 4 hours per dispatch not to exceed 8 hours in a day without Provider manager's approval o Dispatch on As-Needed Basis * Hudson shall provide advance notice as available for ...

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Provider Manager information

What is a provider manager?

A Provider Manager is a professional responsible for overseeing relationships with healthcare providers, such as physicians, clinics, or hospitals, within an organization like a health insurance company or healthcare network. Their duties often include recruiting new providers, negotiating contracts, ensuring quality standards are met, and serving as a liaison between providers and the organization. Provider Managers play a key role in maintaining a strong provider network, resolving issues, and supporting operational efficiency to ensure members receive high-quality care.

What are some common challenges provider managers face when coordinating between healthcare providers and insurance companies?

Provider Managers often navigate complex relationships between healthcare providers and insurance companies, which can involve resolving contract disputes, ensuring compliance with regulatory standards, and streamlining credentialing processes. They frequently manage competing priorities, such as maintaining strong provider networks while meeting organizational cost and quality goals. Effective communication, negotiation skills, and up-to-date knowledge of industry regulations are crucial for overcoming these challenges and maintaining productive partnerships.

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

To thrive as a Provider Manager, you need expertise in healthcare administration, provider relations, and a solid understanding of regulatory compliance, typically supported by a bachelor’s degree in healthcare management or a related field. Familiarity with provider network management systems, credentialing software, and data analytics tools is highly valued. Strong interpersonal skills, negotiation abilities, and effective communication are essential for building relationships with providers and leading teams. These skills and qualities are crucial for ensuring high-quality provider networks, regulatory adherence, and efficient healthcare delivery.

How do I become a provider manager?

To become a provider manager, candidates typically need a bachelor's degree in healthcare administration, business, or a related field, along with relevant experience in healthcare or provider relations. Strong communication, organizational skills, and knowledge of healthcare regulations are essential, and some roles may require certification such as Certified Provider Relations Professional (CPRP). Gaining experience in provider networks or healthcare operations can also improve prospects for advancement into this role.

What are the most commonly searched types of Provider jobs in Maryland?

The most popular types of Provider jobs in Maryland are:

PROVIDER RELATIONS MANAGER

Korak Healthsource Group

Baltimore, MD • On-site

Full-time

Re-posted 27 days ago


Job description

Additional Information

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About Korak Healthsource Group

Sourced by ZipRecruiter

Korak Healthsource Group Inc., looks beyond today’s challenges and creates values for the future. Today’s Claims Management clients need the organizational flexibility for all staffing solutions to drive cost savings, efficiencies improvements and enhancement to process effectiveness. Korak Healthsource is dedicated to developing innovative partnerships, creating customized staffing solutions, cost-effective and efficient health care claims administration outsourcing and support services to meet your business goals. Our focus is on your business goals to drive business process improvement, solution effectiveness and technology enhancements to accelerate results.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Forest Hill, MD, US

Year founded

1996