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Provider Relationship Manager Jobs in Nebraska (NOW HIRING)

CareMore Health

$20 - $30/hr

Provider Relationship Specialist I performs routine, well-defined work under close supervision while building foundational skills in the provider relationship management function. Decisions reference ...

CareMore Health

$20 - $30/hr

Provider Relationship Specialist I performs routine, well-defined work under close supervision while building foundational skills in the provider relationship management function. Decisions reference ...

TheKey

Client Relationship Manager

Omaha, NE · On-site

The Omaha team is seeking a Client Relationship Manager to help us continue fulfilling our promise of providing the care you need at the place you call home. Our clients are people, typically older ...

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Provider Relationship Manager information

What is a provider relationship manager?

A Provider Relationship Manager is a professional who acts as a liaison between healthcare providers, such as doctors or hospitals, and insurance companies or health organizations. Their main role is to build and maintain positive relationships with providers, ensuring effective communication and resolving any issues related to contracts, billing, or performance. They work to improve provider satisfaction, streamline processes, and support the organization's goals in delivering quality healthcare services.

What are the key skills and qualifications needed to thrive as a provider relationship manager?

To thrive as a Provider Relationship Manager, you need a strong understanding of healthcare networks, contract negotiation, and provider relations, often supported by a degree in healthcare administration or business. Familiarity with healthcare management systems, CRM tools, and data analysis platforms is typically required. Exceptional interpersonal skills, problem-solving ability, and effective communication help build trust and resolve issues with providers. These competencies are crucial for maintaining productive partnerships, ensuring service quality, and supporting organizational objectives in a competitive healthcare environment.

What are some common challenges a provider relationship manager faces when working with healthcare providers, and how can they be addressed?

Provider Relationship Managers often encounter challenges such as aligning organizational goals with provider expectations, addressing concerns about reimbursement rates, and managing communication across multiple stakeholders. Building strong, trust-based relationships and maintaining clear, transparent communication are key strategies for overcoming these obstacles. Regularly scheduled meetings, active listening, and prompt follow-up on issues help foster collaboration and ensure providers feel supported, ultimately leading to more effective partnerships.

What is the difference between Provider Relationship Manager vs Account Manager?

AspectProvider Relationship ManagerAccount Manager
CredentialsRelevant certifications (e.g., healthcare management, customer service)Sales or customer service certifications often preferred
Work EnvironmentHealthcare or insurance settings, provider networksVarious industries, client-focused environments
Employer & IndustryHealthcare providers, insurance companiesMultiple industries including tech, retail, finance
Search & Comparison IntentFocus on provider relations, healthcare partnershipsFocus on client accounts, sales, and retention

The Provider Relationship Manager primarily manages relationships with healthcare providers or insurance networks, focusing on partnerships and service quality. In contrast, an Account Manager typically handles client accounts across various industries, emphasizing sales and customer retention. While both roles involve relationship management, their industry focus and daily responsibilities differ significantly.

What are popular job titles related to Provider Relationship Manager jobs in Nebraska?

For Provider Relationship Manager jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Provider Relationship Manager jobs in Nebraska look for?

The top searched job categories for Provider Relationship Manager jobs in Nebraska are:

Provider Relationship Manager jobs near you

Provider Relationship Specialist I

CareMore Health

On-site

$20 - $30/hr

Full-time

Posted 16 days ago

Job description

Job Description Summary

Supports contracted providers by responding to routine inquiries related to eligibility, referrals, claims, credentialing status, and basic operational processes. Uses established workflows and available resources to provide standard information, document interactions, complete routine follow-up, and route issues requiring additional review to the appropriate resource.
Provider Relationship Specialist I performs routine, well-defined work under close supervision while building foundational skills in the provider relationship management function. Decisions reference established checklists and procedures, and impact the accuracy of own work. This job follows defined parameters and standard processes, with work reviewed routinely by more experienced staff.

How will you make an impact & Requirements

KEY RESPONSIBILITIES

Respond to routine provider inquiries related to eligibility, referrals, claims, credentialing status, and established operational processes using approved procedures and resources.

Provide standard information regarding provider processes, tools, portal resources, and required next steps.

Document provider interactions, case details, actions taken, and required follow-up accurately in CRM and applicable tracking systems.

Complete routine research and follow-up using established workflows, reference materials, and internal systems.

Route or escalate provider issues that cannot be resolved through established procedures to the appropriate team or more experienced resource.

Participate in training and onboarding activities to build foundational knowledge of provider operations, network processes, systems, and service standards.

Complete assigned work in accordance with established quality, accuracy, productivity, and service expectations.

QUALIFICATIONS

High school diploma or equivalent required; 0-1 year of customer service, healthcare operations, administrative support, or related experience.

Basic knowledge of customer service and administrative support practices; healthcare or provider operations experience preferred.

Ability to follow established procedures, workflows, documentation standards, and escalation protocols accurately and consistently.

Basic proficiency with computer applications and ability to learn CRM, provider management, and related operational systems.

Strong verbal and written communication skills with the ability to provide clear and professional information to providers and internal stakeholders.

Ability to organize assigned work, maintain accurate records, and meet established quality and productivity expectations.

Compensation Range:

$20.00

to

$30.00

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

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