Manager, Network Relations - Remote

Overview

This role acts as the primary resource for an assigned profile of large provider groups/health systems to establish, oversee, and maintain provider risk management and positive relationships, supporting high value initiative activities.

In Short

• Act as the primary resource for large provider groups/health systems.
• Oversee provider risk management and maintain positive relationships.
• Drive implementation of solutions to achieve provider satisfaction.
• Optimize interactions with providers and internal partners.
• Manage provider servicing matters and resolve escalated issues.
• Educate providers on compliance with contract parameters.
• Facilitate external provider meetings and manage agendas.
• Collaborate to manage cost drivers and execute cost initiatives.
• Strong communication and conflict resolution skills required.
• Willingness to travel 10-15% to providers.

Requirements

• 3 to 5 years of provider relations experience.
• Working knowledge of CPT and HCPC codes.
• Proven problem-solving and conflict management skills.
• Prior Medicare and Commercial insurance experience.
• Bachelor's degree or equivalent professional work experience.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• No-cost wellness programs and confidential counseling.
• Paid time off and flexible work schedules.
• Tuition assistance and dependent care resources.