About this opportunity
CommuniCare Health lists this Network and Provider Relations Manager opportunity in blue ash, Ohio. Review the employer’s description below for duties, qualifications and application requirements.
Job description
**Network and Provider Relations Manager****CommuniCare Advantage**, a member of **CommuniCare Health Services**, is currently recruiting a **Network and Provider Relations Manager** to support our **Medicare Advantage** plan in the state of **Virginia**.**PURPOSE/BELIEF STATEMENT**The Network and Provider Relations Manager is responsible for the execution of a strategic plan to recruit, service and support network providers in an assigned geographic area.**BENEFITS**As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.**QUALIFICATIONS AND EXPERIENCE REQUIREMENTS*** Bachelor's degree and a minimum 5 years of experience working in network management and/or provider relations.* Must have a working knowledge of Medicare programs.* Must possess solid knowledge and understanding of managed care industry; and local market conditions.* Proficiency in MS Office Suite* Must possess valid driver's license.* Must be willing to travel within the service area at least 50% of the time**KNOWLEDGE/SKILLS/ABILITIES*** Must have integrity and a strong ethical compass.* Must be flexible, able to work independently, and able to achieve deadlines and deliverables with minimal supervision.* Must have strong communication skills and ability to work effectively with people coming from diverse cultural and professional perspectives.**JOB DUTIES AND RESPONSIBILITIES*** Develop the provider network through contract negotiations, relationship development, and servicing all provider types.* Develop and maintain positive provider relationships with provider community by regular on-site visits (may be virtual or in person as needed), communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues.* Serve as a knowledge and resource expert regarding the most complex provider issues impacting provider satisfaction, research and resolve the most complex provider issues for prompt resolution.* Provide assistance regarding education, contract questions and non-routine claim issues.
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.