Manager, Provider Relations

CareSource•Mobile, AL

1d•$83,000 - $132,800•Hybrid

About The Position

Job Summary: The Manager, Provider Relations is responsible for overseeing and encouraging the collaboration with key Health Partners in the development of specific strategies for enhanced operational engagement. Essential Functions: Oversee the ownership of the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention. Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity. Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners/Providers. Ensure the training and development of Provider Relations Team to support provider relationships. Ensure the team’s strategic objectives are met, both in creating new plans and in identifying and responding to customer needs. Establish and maintain strong working relationships with key internal business leaders. Ensure Provider Relations team members are resolving complex or non-routine questions, issues, and problems efficiently and effectively. Develop and report on key accomplishments and issues to leadership. Set targets and priorities to contribute towards meeting overall CareSource goals and strategies. Develop, implement and manage an onboarding and education escalation process. Outwardly support and communicate CareSource mission and goals. Contribute to the training and development of team members. Analyze current work processes, identify gaps and implement proactive, innovative approaches. Ensure appropriate documentation of interactions and projects by all team members. Performs any other job related duties as requested.

Requirements

Bachelor's degree in Business Administration, or related field is required
Equivalent years of relevant work experience may be accepted in lieu of required education
Three (3) years of experience in the health plan/managed care industry required
Proficient with Microsoft Office to include Word, Excel and PowerPoint
Excellent written and verbal communications skills
Ability to develop, prioritize and accomplish goals
Detail oriented
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem-solving skills with attention to detail
Ability to work independently and within a team
Strong negotiation skills
Excellent leadership skills
Ability to create and maintain excellent working relationships
Must have valid driver's license, vehicle and verifiable insurance.
Employment in this position is conditional pending successful clearance of a driver’s license record check.

Nice To Haves

Previous Leadership experience preferred
Six Sigma Certification or Project Management certification preferred

Responsibilities

Oversee the ownership of the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention.
Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity.
Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners/Providers.
Ensure the training and development of Provider Relations Team to support provider relationships.
Ensure the team’s strategic objectives are met, both in creating new plans and in identifying and responding to customer needs.
Establish and maintain strong working relationships with key internal business leaders.
Ensure Provider Relations team members are resolving complex or non-routine questions, issues, and problems efficiently and effectively.
Develop and report on key accomplishments and issues to leadership.
Set targets and priorities to contribute towards meeting overall CareSource goals and strategies.
Develop, implement and manage an onboarding and education escalation process.
Outwardly support and communicate CareSource mission and goals.
Contribute to the training and development of team members.
Analyze current work processes, identify gaps and implement proactive, innovative approaches.
Ensure appropriate documentation of interactions and projects by all team members.
Performs any other job related duties as requested.