Payor Provider Relations Manager

BRISTOL HOSPICE LLC • Salt Lake City, UT

2d • $80,000 - $85,000

About The Position

The Managed Care Provider/Payor Relations Manager will be responsible for obtaining, coordinating, managing, monitoring, and maintaining not only credentialing and recredentialing process for all Bristol Hospice sites nationally. This position will facilitate all aspects of payor/provider relations and credentialing activities including but not limited credentialing and contracting. The Manager will assist in compliance with the contracted managed care payors accrediting and regulatory agencies while developing and maintaining a working knowledge of the organizations guidelines, policy, procedures and Federal and State laws Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.

Requirements

• Must have a bachelors’ degree in a related field
• Must have at least one (1) year of administrative health care experience
• Must have at least one (1) year of hospice/homecare experience

Responsibilities

• Manage and perform all aspects of credentialing activities with contracts payors
• Work with internal staff to manage and obtain necessary documentation to submit to payor organizations for provider credentialing and recredentialing
• Work with Payors to request joining their provider network and obtain approval from payors to proceed forward with agreement
• Maintain an extensive data base for all AIM providers credentialing documentation
• Manage the flow of information between managed care payors Medicare, Medicaid, and PHOs/IPA affiliation
• Communicate updated policies and procedures to staff members
• Assist National Director of Contracting in developing Managed Care training materials
• Other duties as assigned

Benefits

• Tuition Reimbursement
• PTO and Paid Holidays
• Medical, Dental, Vision, Life Insurance, and more
• HSA & 401(k) available
• Mileage Reimbursement for applicable positions
• Advanced training programs
• Passionate company culture committed to the highest standard of care in the hospice industry

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees