Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
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Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
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Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ... Provider Relations Supervisor - Inform the Provider Relations Supervisor of important updates ...
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Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ... Provider Relations Supervisor - Inform the Provider Relations Supervisor of important updates ...
Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
Provider Relations Specialist - Contracting, Credential and Load Reports To: Provider Relations ... Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and ...
Highly experienced in relationship management with networks, clients and/or brokers. * Ability to ... All qualified applicants for the Provider Relations Representative position will receive ...
Highly experienced in relationship management with networks, clients and/or brokers. * Ability to ... All qualified applicants for the Provider Relations Representative position will receive ...
Highly experienced in relationship management with networks, clients and/or brokers. * Ability to ... All qualified applicants for the Provider Relations Representative position will receive ...
Highly experienced in relationship management with networks, clients and/or brokers. * Ability to ... All qualified applicants for the Provider Relations Representative position will receive ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... and providing necessary services in the care of the Plan members • Insuring providers and ...
Serves in a consultative role by providing advice, guidance and coaching to different levels of management and HRBPs on performance, EEO and employee relations issues. This role is responsible for ...
Serves in a consultative role by providing advice, guidance and coaching to different levels of management and HRBPs on performance, EEO and employee relations issues. This role is responsible for ...
Provides administrative oversight in the tracking and accounting of all financial matters in the box office and guest relations areas. Assists the Box Office and Guest Relations Manager in the daily ...
Provides administrative oversight in the tracking and accounting of all financial matters in the box office and guest relations areas. Assists the Box Office and Guest Relations Manager in the daily ...
The Corporate Relations Manager/Business Development serves as a pipeline for new business and ... Must be able to move objects and use abdominal and lower back muscles to provide support over time ...
The Corporate Relations Manager/Business Development serves as a pipeline for new business and ... Must be able to move objects and use abdominal and lower back muscles to provide support over time ...
... provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately. * Facilitates the communication of activities, emerging trends ...
... provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately. * Facilitates the communication of activities, emerging trends ...
Provider Relations Manager information
See Indiana salary details
$32.8K - $41.4K
23% of jobs
$43.1K is the 25th percentile. Wages below this are outliers.
$41.4K - $50K
9% of jobs
$50K - $58.7K
5% of jobs
$58.7K - $67.3K
8% of jobs
The median wage is $71.6K / yr.
$67.3K - $75.9K
7% of jobs
$75.9K - $84.5K
11% of jobs
$91.8K is the 75th percentile. Wages above this are outliers.
$84.5K - $93.1K
13% of jobs
$93.1K - $101.7K
11% of jobs
$101.7K - $110.3K
5% of jobs
$110.3K - $118.9K
4% of jobs
$118.9K - $127.5K
3% of jobs
$32.8K
$74.3K
$127.5K
How much do provider relations manager jobs pay per year?
What is the difference between Provider Relations Manager vs Provider Relations Specialist?
| Aspect | Provider Relations Manager | Provider Relations Specialist |
|---|---|---|
| Credentials | Bachelor's degree, experience in healthcare or insurance | Similar credentials, often entry to mid-level experience |
| Work Environment | Supervisory roles, strategic planning, team management | Operational support, provider communication, data entry |
| Employer & Industry Usage | Health insurance companies, healthcare providers | Health plans, insurance firms, healthcare organizations |
| Search & Comparison Intent | Higher-level responsibilities, management roles | Operational tasks, provider communication roles |
The Provider Relations Manager typically oversees provider relations teams, focusing on strategy and relationship management. The Provider Relations Specialist handles day-to-day provider communication and support. Both roles require healthcare knowledge, but the manager position involves more leadership and strategic planning.
How does a Provider Relations Manager typically collaborate with healthcare providers to resolve issues or concerns?
What are the key skills and qualifications needed to thrive as a Provider Relations Manager, and why are they important?
What does a Provider Relations Manager do?
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Other
Re-posted 11 days ago
Job description
Reports To: Provider Relations Supervisor
Job Summary:
This is a non-exempt position. The Provider Contracting, Credential, and Load Specialist has responsibility for network contracting with Professional and Ancillary providers and serving as the relationship coordinator for our PPO rental networks. The position also has responsibilities for researching and confirming credentialing information (work history, malpractice history, hospital privileges, etc.) on contracted providers. The Specialist loads both new provider information and all updates to current providers into the SIHO system and prepares files for SIHO Credentialing Committee review. Assisting our Sales, Account Management, Reinsurance, and Finance teams in understanding and quantifying our network strengths and weaknesses.
Brief Description of Duties:
- Prepare, execute, and maintain provider contracts with Professional and Ancillary providers, including renegotiation with current SIHO Network providers.
- Function as the point-of-contact for all on-going contractual issues as needed by providers.
- Negotiate Single Case Agreements (SCA) with non-participating providers as requested by Medical Management and Account Management.
- Work closely with and provide support to Health Systems Development, Sales, and Account Management to provide network support for new business development initiatives.
- Work with and provide support to Provider Services Specialists on contractual issues and to assure smooth and efficient operations.
- Establish and maintain good relationships between SIHO and its network providers
- Provide education to physicians, facilities, and ancillary providers
- Training of newly contracted health care providers on SIHO's policies and procedures
- Recognize and handle potential issues appropriately
- Handle issues within the Provider Services department internally and externally
- Complete special projects as assigned by the Provider Relations Supervisor
- Inform the Provider Relations Supervisor of important updates
- Assist in creating new projects to streamline the functions of the department
- Work with Provider Relations staff and internal/external customers to assure smooth and efficient operations
- Credential and re-credential providers by utilizing verification sources
- Enter and maintain provider load information in the SIHO system
- Coordinate with PPO Networks, Data Management, Reinsurance, and Finance to ensure our networks competitiveness is appropriately reflected in our pricing.
Minimum Skills Requirement:
- Experience in a managed care organization preferred
- (Internal candidates) Current SIHO performance evaluation of at least "3" (Performance achieved requirements of job.)
- Strong communication (oral and written) skills
- Demonstrated problem solving and analytical skills
- Knowledge of health insurance, billing, and/or claims processing
- Ability to work at a self-directed pace in a changing, multi-task environment
- Professional appearance and presence
- Ability to project and maintain a positive attitude internally and externally
- Intermediate understanding of Word, Excel, database, and web-based technology
- Ability to maintain strict confidentiality
- Must be good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
- All positions are subject to change based on the needs of the business