Managed Care Provider Relations Manager jobs in Kansas

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Manager, Provider Relations
  • Centene Management Company LLC
  • Remote, KS FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: We are seeking candidates who live in Kansas, or the Kansas City metropolitan area (MO/KS)*** Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities 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 Ability to travel - 15% Education/Experience: Bachelor’s degree in related field or equivalent experience. 4 years of managed care, health delivery system and/or 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. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Pay Range: $84,300.00 - $151,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
  • 9 Days Ago

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Manager, Provider Relations
  • Sunflower Health Plan
  • UNKNOWN, KS FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll hav...
  • 19 Days Ago

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Clerk
  • Centurion Managed Care
  • Hutchinson, KS FULL_TIME
  • Job Details Description Centurion is proud to be the provider of comprehensive healthcare services to the Kansas Department of Corrections. We are currently seeking a Full-time Clerk to join our team ...
  • 20 Days Ago

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Certified medication
  • Centurion Managed Care
  • Lansing, KS FULL_TIME
  • Job Details Description $2500 Hiring Bonus Pay rate range $18-$23 / hr shift and weekend shift differentials, depending on years of experience! Centurion is proud to be the provider of comprehensive h...
  • 20 Days Ago

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Urgent Care Physician
  • KPG Provider Services
  • Mission Hills, KS FULL_TIME
  • Outpatient Facility: Looking for an experienced Urgent Care Physician in the Mission Hills, California area. Below you will find the Position Overview with all the detail regarding the position. Posit...
  • 8 Days Ago

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Care provider
  • Barton Community College
  • Great Bend, KS FULL_TIME
  • Position Description : Assists CDC Lead Care Providers in all aspects of child care, educational programming, general center upkeep and housekeeping. Position Responsibilities : 60.00% - Assist Lead C...
  • 20 Days Ago

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Relationship Manager
  • Ascensus
  • Greensboro, NC
  • Newport, an Ascensus company, helps employers offer their associates a more secure financial future through retirement p...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • Allium Financial Advisors, LLC
  • Lake Oswego, OR
  • Summary This position is responsible for partnering with Financial Advisors to help manage client relationships by perfo...
  • 6/10/2024 12:00:00 AM

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Relationship Manager
  • Wilson Hand LLC
  • Salt Lake City, UT
  • At Wilson Hand LLC, our strength is in how we efficiently deliver leading-edge tax products and support to our clients, ...
  • 6/10/2024 12:00:00 AM

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Relationship Manager
  • Wind River Payments
  • Madison, WI
  • As a Relationship Manager at Wind River Payments (WRP), you will thrive on building strong, long-term client relationshi...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Docufree Corporation
  • Millville, NJ
  • Job Description Job Description The Relationship Manager is a critical role in the delivery of services to clients and e...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • High Flows Capital
  • Company Description We suggest you enter details here. Role Description This is a full-time on-site role for a Relations...
  • 6/8/2024 12:00:00 AM

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Relationship Manager
  • ComForCare
  • Monroe, NC
  • At ComForCare Home Care, we value our employees like family. We celebrate success and have fun. Our focus is to help our...
  • 6/8/2024 12:00:00 AM

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Relationship Manager
  • The Alliance Corporate Office
  • Durham, NC
  • Job Description Job Description We are looking for an outgoing relationship manager to foster strong relationships with ...
  • 6/7/2024 12:00:00 AM

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$96,487 to $139,186

Managed Care Provider Relations Manager in Trenton, NJ
Rizk says McKesson has created a collegial relationship by reaching out to providers.
January 03, 2020
Managed Care Provider Relations Manager in Gary, IN
Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.
February 24, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019