Territory Supervisor
Company Name:
Centene
## Description
Position Purpose: Supervise and coordinate the operations of the provider relations department
Position
Responsibilities:
Supervise the day-to-day workflow of the provider relations function in compliance with health plan, corporate and state policies, procedures and guidelines
Train and update staff regarding policies and procedures
Receive and respond to emergent provider issues
Ensure standards are met and maintained
Plan, coordinate and participate in scheduled and unscheduled meetings with providers to conduct orientations, train providers on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
Review provider change forms for accuracy
Assist in the resolution of claims payment and provider set-up issues
Coordinate and attend health plan sponsored provider functions
Assist in the development of policies and procedures
Update and maintain Provider Manual
## Qualifications
Knowledge/
Experience: Bachelor's degree in Marketing, Communications, Public Relations or Business or equivalent experience. 3
years of provider relations, marketing, customer service and/or claims processing/billing experience in a managed care environment. Supervisory or lead experience preferred. Knowledge of managed care and state Medicaid program guidelines.
Licenses/Certifications: Current state driver's license.
## Job
Job: Business Development/Sales
Primary Location: USA-New Hampshire-Bedford
Other Locations: USA-Centene-Centene
Organization: New Hampshire Healthy Families
Schedule: Full-time
Req ID: 006JWEstimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose: Supervise and coordinate the operations of the provider relations department
Position
Responsibilities:
Supervise the day-to-day workflow of the provider relations function in compliance with health plan, corporate and state policies, procedures and guidelines
Train and update staff regarding policies and procedures
Receive and respond to emergent provider issues
Ensure standards are met and maintained
Plan, coordinate and participate in scheduled and unscheduled meetings with providers to conduct orientations, train providers on health plan policies and procedures, deliver materials or inquire about contracting with our health plan
Review provider change forms for accuracy
Assist in the resolution of claims payment and provider set-up issues
Coordinate and attend health plan sponsored provider functions
Assist in the development of policies and procedures
Update and maintain Provider Manual
## Qualifications
Knowledge/
Experience: Bachelor's degree in Marketing, Communications, Public Relations or Business or equivalent experience. 3
years of provider relations, marketing, customer service and/or claims processing/billing experience in a managed care environment. Supervisory or lead experience preferred. Knowledge of managed care and state Medicaid program guidelines.
Licenses/Certifications: Current state driver's license.
## Job
Job: Business Development/Sales
Primary Location: USA-New Hampshire-Bedford
Other Locations: USA-Centene-Centene
Organization: New Hampshire Healthy Families
Schedule: Full-time
Req ID: 006JWEstimated Salary: $20 to $28 per hour based on qualifications.
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