CommuniCare Health Services
CommuniCare Health Services

CommuniCare Health Services गिल्बर्ट, एरिज़ोना में स्थित एक व्यवहारिक स्वास्थ्य एजेंसी है, जो स्थिरता, उपचार और लचीलेपन को बढ़ावा देने के लिए बनाई गई सेवाओं के माध्यम से युवाओं और परिवारों की सहायता करती है। इसके कार्यों में केस प्रबंधन, थेरेपी, आवासीय उपचार और जीवन-कौशल प्रशिक्षण शामिल हैं। इसका वातावरण सुरक्षा, सशक्तिकरण और व्यक्तिगत विकास पर केंद्रित है।

दो दशकों से अधिक के अनुभव के साथ, CommuniCare Health Services व्यक्तिगत सांस्कृतिक मान्यताओं का सम्मान करके और प्रत्येक व्यक्ति की परिस्थितियों के अनुसार सहायता को अनुकूलित करके अपने सेवा-प्राप्त समुदायों को मजबूत बनाने का प्रयास करती है। इसकी टीम व्यावहारिक और संवेदनशील व्यवहारिक स्वास्थ्य देखभाल के माध्यम से युवाओं और परिवारों के लिए सकारात्मक परिणामों में योगदान देती है।

Medicare Advantage Network and Provider Relations Manager

Manage CommuniCare Advantage’s Virginia Medicare Advantage provider network through contract negotiations, provider servicing, and relationship development. Resolve complex network issues while supporting provider education and satisfaction.

विवरण

  • Execute a strategic plan to recruit, support, and service providers across an assigned geographic area
  • Expand the provider network through contract negotiations, relationship building, and support for all provider types
  • Maintain strong provider relationships through regular on-site, virtual, and in-person visits as needed
  • Explain administrative and program changes to network providers
  • Deliver provider education and coordinate issue resolution
  • Act as a subject-matter resource for complex issues affecting provider satisfaction
  • Investigate and resolve complex provider concerns promptly
  • Support provider education, contract inquiries, and non-routine claims issues

आवश्यकताएँ

  • Bachelor’s degree
  • At least five years of experience in network management, provider relations, or both
  • Working knowledge of Medicare programs
  • Strong understanding of managed care and local market conditions
  • Proficiency with Microsoft Office Suite
  • Valid driver’s license
  • Ability to travel throughout the service area at least 50% of the time
  • Demonstrated integrity and strong ethical judgment
  • Able to work independently, meet deadlines, and deliver results with minimal supervision
  • Strong communication skills and the ability to collaborate with people from diverse cultural and professional backgrounds

लाभ

  • Competitive wages
  • Paid time off plans
  • Life and disability insurance plans
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • 401(k) plan with employer match
  • Flexible Spending Accounts

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