Medicaid Network Provider Relations Manager - Remote

Overview

The Medicaid Network Provider Relations Manager oversees Medicaid Provider Experience programs, ensuring provider satisfaction and maintaining positive relationships with Network Providers.

In Short

• Oversee Medicaid Provider Experience programs.
• Act as primary contact for larger and complex providers.
• Drive implementation of solutions for provider satisfaction.
• Research and handle contract-related issues.
• Conduct provider training and orientations.
• Create and manage provider-facing communications.
• Monitor grievances according to NCQA standards.
• Attend Plan committee meetings as needed.
• Document visits and encounters in CRM.
• Travel within Illinois Market - approximately 20%.

Requirements

• Must reside in Illinois.
• Minimum 2 years’ experience with Medicaid Regulatory Standards.
• Excellent analytical and problem-solving skills.
• Strong communication and presentation skills.
• 3+ years' experience in Medicaid Managed Care.
• Bachelor's degree preferred.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Flexible work schedules.
• Tuition assistance and family leave.