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Remote Healthcare Network Relations Provider Manager

Company: VirtualVocations
Location: Hayward
Posted on: June 23, 2022

Job Description:

A managed healthcare and benefits company has a current position open for a Remote Healthcare Network Relations Provider Manager.

Core Responsibilities of this position include:
Developing and implementing strategies to increase provider engagement in HEDIS and quality initiatives
Developing and implementing strategies to reduce member access grievances with contracted providers
Serving as a resource to support Plan's initiatives and helping ensure regulatory requirements and strategic goals are realized
Applicants must meet the following qualifications:

5 years' experience involving servicing individual and groups of physicians, hospitals and integrated delivery systems
5 years' experience with ancillary providers with Medicaid and/or Medicare products
5+ years previous managed healthcare experience
2+ years revenue cycle experience
2 years previous supervisory experience
Experience with community agencies and providers

Keywords: VirtualVocations, Hayward , Remote Healthcare Network Relations Provider Manager, Healthcare , Hayward, California

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