Provider Relations Manager, Healthcare

EXL Talent Acquisition Team

89d

About The Position

The Provider Relations Manager will be responsible for managing provider relations and service interactions within their assigned team. Acting as a key liaison, this individual will support external providers with audit inquiries, claims reimbursement progress, and training on portal navigation and service enhancements. The role also involves guiding providers on claim audit record submissions, timelines, and process adherence. The ideal candidate will be adept at identifying operational gaps, resolving complex claims issues, and effectively communicating solutions. This role is critical in fostering and maintaining strong relationships between EXL and our valued providers while ensuring exceptional service and satisfaction.

Requirements

• Strong communication skills to effectively liaise with providers.
• Experience in managing provider relations and service interactions.
• Ability to identify operational gaps and resolve complex issues.
• Knowledge of claims processes and audit inquiries.

Responsibilities

• Manage provider relations and service interactions within the assigned team.
• Act as a key liaison to support external providers with audit inquiries and claims reimbursement progress.
• Provide training on portal navigation and service enhancements to external providers.
• Guide providers on claim audit record submissions, timelines, and process adherence.
• Identify operational gaps and resolve complex claims issues.
• Communicate solutions effectively to providers.

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees