Managed Care Provider Relations Manager jobs in Delaware

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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Medicaid Provider Relations Call Center Supervisor
  • The ACI Group, Inc.
  • Newark, DE FULL_TIME
  • Medicaid Provider Relations Call Center Supervisor, Newark, DE


    • Full-time
    • 100% On-Site for initial 3 months, then 2-3 days/weeks after that.
    • Due to our client requirements, we can only consider US Citizens or Green Card Holders for this position
    • NO THIRD PARTY RECRUITERS PLEASE! CANDIDATES MUST BE SELF-REPRESENTED.
    • Salary Range: $55,500 - $79,300


    Description


    Our client is seeking a Medicaid Provider Relations Call Center Supervisor (On-site) to support a Medicaid program.


    Responsibilities


    • Supervises functional areas or department account leads on smaller sized or segments of larger accounts to ensure that business solution objectives are met.
    • Develop demand forecasts with account teams to assist functional areas or departments in planning and delivering end-to-end services.
    • Works with functional areas or departments to interpret and plan projects or workload forecasts. Identifies and oversees the resolution of account-specific service problems including prioritizing work requests.
    • Monitors and approves expenditures for accounts in line with the established policies and procedures. Oversees spending for adherence to budget, and recommends variances as needed.
    • Works closely with the management team, lines of service, and clients to help manage complex relationships between delivery and consumer groups to ensure good client relations.


    Requirements


    • Bachelors Degree is required.
    • Minimum of 4 years of experience managing provider relations functions for a Medicaid Program, other government healthcare program, or healthcare-related organization.
    • Experience or training in member eligibility management and significant experience in a call center operation are required.
    • Good project management skills.
    • Good analytical and problem-solving skills.
    • Good interpersonal skills to interact with customers and team members.
    • Good communication skills.


    Please Note:


    • Only those individuals selected for an interview will be contacted.
    • No calls, inquiries, or Third-Party Vendors please.
    • We are an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences. (The ACI Group is unable to sponsor H1B Visas).
    • $1000 Referral Bonus - www.aci.com.


    Since 1988, The ACI Group, a Baltimore-based staffing firm, has been committed to hiring the industry's leading professionals, and presenting exciting career opportunities. We have access to varied types of contract, permanent and contract-to-perm positions and offer a choice of employment options including a full benefits package.

  • 3 Days Ago

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In Home Care Provider
  • Options for Senior America
  • Bear, DE FULL_TIME,CONTRACTOR
  • Permanent Live-In Care Providers Needed!! Options for Senior America We are seeking qualified candidates who are licensed CNA/GNA, or CMT with CNA experience for an expanding growth of possible new ca...
  • 3 Days Ago

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In Home Care Provider
  • Options for Senior America
  • Dover, DE FULL_TIME,CONTRACTOR
  • Permanent Live-In Care Providers Needed!! Options for Senior America We are seeking qualified candidates who are licensed CNA/GNA, or CMT with CNA experience for an expanding growth of possible new ca...
  • 3 Days Ago

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Client Relations Manager, I
  • Best Egg
  • Wilmington, DE FULL_TIME
  • Best Egg is the leading financial confidence platform that provides flexible solutions to real-life challenges for people with limited savings. We leverage real-time customer insights and data science...
  • 5 Days Ago

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Development Relations and Database Manager
  • YWCA Delaware
  • Wilmington, DE FULL_TIME
  • DescriptionMission: YWCA Delaware is dedicated to eliminating racism, empowering women, and promoting peace, justice, freedom, and dignity for all. We provide a wide range of programs and services, in...
  • 1 Month Ago

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Associate Director, HCP Marketing – Inhaled Respiratory
  • 10000138 - Brand Manager
  • Wilmington, DE FULL_TIME
  • Are you ready to make a significant impact on patient lives? AstraZeneca is seeking an Associate Marketing Director for our Inhaled Respiratory division within the Biopharmaceuticals Business Unit. Th...
  • 8 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
  • Flourish
  • New York, NY
  • Flourish was founded in 2017 with the goal of helping financial advisors to better secure the financial futures of their...
  • 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
  • AFC Automotive Finance Corporation
  • Austin, TX
  • Who We Are: At AFC (Automotive Finance Corporation) we fuel the entrepreneurial dream in our community. For more than 35...
  • 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

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$102,872 to $148,396

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