Job Details

Sr. Provider Network Relations Manager

  2024-10-31     COMPREHENSIVE HEALTH SERVICES, LLC     Charleston,WV  
Description:

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today To see what career opportunities we have available, explore below to find your next career Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. Reporting to the Director of Provider Network Operations, the Senior Provider Network Relations Manager is responsible for the day-to-day operations of the Provider Relations Department. The Sr. Manager will develop a cohesive, fully engaged team that has a firm understanding of their role in helping the organization achieve its mission and strategic goals. Manages and maintains ongoing relationships, quality, and customer service with existing providers nationwide. We are looking for an extremely motivated individual who will approach this role with a high level of creativity and collaboration. A solid contracting and negotiation background, effective management skills, and a positive attitude are essential. The ability to manage by influence in a matrixed environment; operate with transparency and execute the vision of the business unit. Ideal candidate will be local to the Cape Canaveral, Florida office. Will consider nationwide remote. Responsibilities Responsible for developing the provider network yielding a geographically and cost competitive, high quality, stable provider network. Directs and oversees the negotiations of network provider service agreements and single case agreements. Contracts involve non-standard arrangements that require a high level of negotiation skills. Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. Detects network gaps and/or shortfalls and coordinates recruitment campaigns. Ensures that communication with network facilities and/or providers, is maintained, to encourage quality participation in the Acuity provider network. Responsible for the timely identification and resolution of escalated facility and/or provider issues and/or quality concerns, ensuring follow up plans and interventions are timely and responsive, and supports positive partnerships with Acuity clients and network facilities. Oversees quarterly program reviews, facility quality reporting, examinee survey, and department weekly reporting. This includes oversight and monitoring of key operational metrics to ensure Acuity provider network participants are meeting performance expectations. Responsible for analysis and explanation of contractual guidelines and policies to ensure providers are properly educated on company and client procedures. Responsible for issue resolution as relates to contract performance, quality and/or customer service. Develops and maintains department operational workflows. Job Requirements Bachelor's Degree required 10 years of combined contracting and negotiations, network development, provider relations For full info follow application link. Acuity International is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.


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