Managed Care Provider Relations Manager jobs in North Dakota

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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Senior Provider Relations Specialist
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Careers With Purpose

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: 45th St Business Center

    Location: Fargo, ND

    Address: 300 45th St S, Fargo, ND 58103, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $24.00 - $38.50

    Job Summary

    The Senior Provider Relations Specialist is responsible for acting as a resource to all Health Plan employees specifically the employees of the Provider Relations Department. Gains extensive knowledge in the assigned subject matter. For the information system application(s) and a basic working knowledge of the enterprise healthcare information system applications. Uses analytical skills and experiences to investigate/resolve and/or escalate support issues. Incorporates techniques to assist and/or lead training sessions. Must have ability to train and provide documentation of the assigned application to users with varying education and learning abilities. Assists in the creating and maintenance of training documentation or on-line training courses. Utilizes project management principles to assist in achieving states outcomes. Creates and analyzes data reports. Keeps departmental leadership and project leaders advises of outstanding issues and support needs. Performs with a high level of customer service skills on all support and training requirements. Promotes and participates in the team approach to support and manage projects.

    Qualifications

    Minimum of a Bachelor’s degree required, preferable in business, a health care or computer related field.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0188439

    Job Function: General Administration

    Featured: No

  • 1 Day Ago

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Quality Assurance Manager
  • Provider Resources, Inc.
  • Fargo, ND FULL_TIME
  • Position Description: Quality Assurance Manager Under the direction of the Program Manager for the Independent Dispute Resolution Entity (IDRE) or their delegate, the Quality Assurance Training Manage...
  • 14 Days Ago

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Daycare Provider
  • New Song Kids Care
  • Bismarck, ND PART_TIME
  • Please follow this link to fill out our online application: Bit.ly/KidsCareApplication. New Song Kids Care is looking for a creative, caring, and compassionate individual to care for toddler age child...
  • 24 Days Ago

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Childcare Provider
  • New Song Kids Care
  • Bismarck, ND PART_TIME
  • Please follow this link to fill out our online application: Bit.ly/KidsCareApplication. New Song Kids Care is looking for a creative, caring, and compassionate individual to care for toddler age child...
  • 23 Days Ago

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Childcare Provider
  • ABC Child Care Center
  • Minot, ND PART_TIME,FULL_TIME
  • Child care provider working in a classroom alone or possibly with another teacher. This job also comes with several benefits: -You will receive free meals while you work. -Paid breaks. -Uniforms are p...
  • 2 Months Ago

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Patient Relations Specialist
  • Visionary Eye Care
  • Dickinson, ND FULL_TIME
  • We are adding to our team!Our Patient Relations Specialists work with the staff and doctors to keep the office running smoothly and efficiently. This includes handling calls, scheduling exams, checkin...
  • 8 Days Ago

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Relationship Manager
  • First Tee — Monterey County
  • Salinas, CA
  • POSITION TITLE: Relationships Manager DEPARTMENT: Development SUPERVISOR: CEO FLSA STATUS: Exempt Mission Deliver a targ...
  • 6/2/2024 12:00:00 AM

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Relationship Manager
  • CTBC Bank, New York Branch
  • New York, NY
  • About CTBC Bank Established in 1966, CTBC Bank has been building customers’ wealth and Taiwan’s economy for over half a ...
  • 6/2/2024 12:00:00 AM

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Relationship Manager
  • EBizCharge
  • Irvine, CA
  • Headquartered in Irvine, California, EBizCharge specializes in developing integrated payment solutions that facilitate e...
  • 6/1/2024 12:00:00 AM

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Relationship Manager
  • Ascensus
  • Lake Mary, FL
  • Newport, an Ascensus company, helps employers offer their associates a more secure financial future through retirement p...
  • 6/1/2024 12:00:00 AM

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Relationship Manager
  • Ballston Spa National Bank
  • Clifton Park, NY
  • 49920-76000 per year Base salary plus quarterly sales incentive and annual incentive plan based on goal achievement | Cl...
  • 5/31/2024 12:00:00 AM

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Relationship Manager
  • Wintrust Financial
  • Denver, CO
  • As one of the largest premium finance companies in the country, FIRST Insurance Funding provides full premium finance se...
  • 5/30/2024 12:00:00 AM

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Relationship Manager
  • AFC Automotive Finance Corporation
  • Dulles, VA
  • Who We Are: At AFC (Automotive Finance Corporation) we fuel the entrepreneurial dream in our community. For more than 35...
  • 5/29/2024 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...
  • 5/29/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$100,116 to $144,422

Managed Care Provider Relations Manager in Trenton, NJ
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Managed Care Provider Relations Manager in Birmingham, AL
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