Manager, Provider Relations
Company Name:
Centene
## Description
Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities.
Position
Responsibilities:
Manage the staff in contracting area including work flow, training and communication standards.
Manage day-to-day provider relations activities and provider relations department.
Develop, implement and maintain production and quality standards for the contracting staff.
Monitor and analyze costs and prepare departmental budget.
Initiate and execute standard physician and ancillary provider contracts.
Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.
Maintain contracts and correspondence files in organized and accessible manner for all providers.
Prepare and analyze information to evaluate the need for additional health plan providers.
Manage and coordinate customized provider contracts and hospital contracts.
Participate in physician and ancillary provider contracting and provider relations in foreign state markets through implementation and startup phases.
## Qualifications
Knowledge/
Experience: Bachelor's Degree or equivalent experience. 4-6 years of Managed care or health delivery system experience including project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills.
Licenses/Certifications: Current state driver's license.
## Job
Job: Customer Service
Primary Location: USA-New Hampshire-Bedford
Other Locations: USA-Centene-Centene
Organization: New Hampshire Healthy Families
Schedule: Full-time
Req ID: 00604Estimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities.
Position
Responsibilities:
Manage the staff in contracting area including work flow, training and communication standards.
Manage day-to-day provider relations activities and provider relations department.
Develop, implement and maintain production and quality standards for the contracting staff.
Monitor and analyze costs and prepare departmental budget.
Initiate and execute standard physician and ancillary provider contracts.
Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.
Maintain contracts and correspondence files in organized and accessible manner for all providers.
Prepare and analyze information to evaluate the need for additional health plan providers.
Manage and coordinate customized provider contracts and hospital contracts.
Participate in physician and ancillary provider contracting and provider relations in foreign state markets through implementation and startup phases.
## Qualifications
Knowledge/
Experience: Bachelor's Degree or equivalent experience. 4-6 years of Managed care or health delivery system experience including project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills.
Licenses/Certifications: Current state driver's license.
## Job
Job: Customer Service
Primary Location: USA-New Hampshire-Bedford
Other Locations: USA-Centene-Centene
Organization: New Hampshire Healthy Families
Schedule: Full-time
Req ID: 00604Estimated Salary: $20 to $28 per hour based on qualifications.
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