Director of Provider Relations managing provider relations in a healthcare organization. Ensuring compliance with policies and improving departmental activities for better performance.
Responsibilities
Oversee the Provider Relations department including negotiations and administering organization policies and procedures
Ensure in compliance with company policies and standards, government laws, regulations and contracting standards
Develop, implement and monitor policies and procedures
Develop tactical plans to align strategies and technologies with future needs
Effectively manage budget and all resources for short and long-term needs
Prepare and analyze reports on departmental and organizational activities and recommend improvements
Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management
Create effective organizational structure and develop staff skills and competencies
Develop and oversee the training program for the Provider Relations Department
Requirements
Bachelor’s degree in Business Administration, Healthcare Administration, related field or equivalent experience
7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff
Valid driver's license
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
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