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60 Healthcomp Provider Relations Manager Jobs Hiring Near You

TopDog Law

Regional Medical Provider Relations Manager

$82K - $103K/yr

Own ongoing relationship management for both existing and new providers - cadence, communication, and performance tracking * Establish and document a repeatable outreach-to-management playbook that ...

Bravens

Provider Relations

Baltimore, MD

Job Title: Provider Relations Location(s): Baltimore. MD PURPOSE: * Performs a variety of ... ESSENTIAL FUNCTIONS: * 35% Manage Contracting email boxes. Works with the appropriate leader to ...

Independent Health Association

$20/hr

The Provider Relations Representative will answer incoming calls from health care providers ... Strong organizational and time management skills. * Proven examples of displaying the IH values:

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Provider Relations Analyst

Cook Children's

Fort Worth, TX • On-site

Full-time

Medical

Posted 8 days ago

Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers

Job description

Location:

Calmont Operations Building

Department:

Network Mgmt

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems. Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.

Additional Information:

Position will report directly to the Manager of Provider Relations. This position will be the focal point for providers and provider offices by acting as the liaison between the physician community and the Provider Relations staff. This includes maintaining effective relationships with the physician community, including but not limited to physician education, facilitation and resolution of complex, urgent problems.

Must be familiar with Texas Medicaid, claims resolution as well as coordinating and facilitating Provider and committee meetings, create and publish Newsletters, notifications, monitor MCO notices, resolve Provider complaints, update and audit Provider website, update codes on prior authorization look up tool and special projects as assigned by Provider Relations and Network Management Director. Must maintain emails/CRMs for Provider Relations inbox.
Education:

  • Bachelors Degree preferred but will consider 10 years healthcare/provider and/or member services experience in lieu of degree.

  • 1-2 years experience in a provider or member services role working with state regulatory agencies preferred.

  • Familiarity with the provider community, presenting in a public setting and public speaking is desired.

  • Medical billing and Healthcare industry knowledge a plus.

  • Basic understanding of CHIP & STAR benefits, and NPI/TPI relationships for billing.

  • Working knowledge of HMO business operations specifically member services, claims, credentialing and plan operations.

  • Experience with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint).


About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

What Cook Children's Health Care System employees say

Pay

Benefits

Hours and flexibility

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

Social media

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