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Alignment Health
Alignment Health
501 – 1,000 कर्मचारी
बीमास्वास्थ्य बीमास्वास्थ्य सेवा
Alignment Health एक स्वास्थ्य बीमा कंपनी है, जिसका उद्देश्य मेडिकेयर सदस्यों—विशेष रूप से वरिष्ठ नागरिकों, दीर्घकालिक स्वास्थ्य समस्याओं के साथ जीवन बिताने वाले लोगों और कमजोर स्वास्थ्य वाले व्यक्तियों—की देखभाल को बेहतर बनाना है। 2013 में स्थापित यह कंपनी व्यक्तिगत देखभाल मॉडल को प्रौद्योगिकी और चौबीसों घंटे उपलब्ध कंसीयर्ज देखभाल टीम के साथ जोड़ती है, ताकि विश्वसनीय स्थानीय प्रदाताओं के साथ सहायता का समन्वय किया जा सके। इसका कार्य स्वास्थ्य सेवा प्रदान करने और बीमा, दोनों क्षेत्रों में फैला है, जिसमें सदस्यों के लिए देखभाल को अधिक सुलभ, तत्पर और लागत-सचेत बनाने पर ध्यान दिया जाता है। Alignment Health एक बढ़ते हुए स्वास्थ्य सेवा संगठन में नियुक्तियां करती है, जो मेडिकेयर समुदायों की आवश्यकताओं को पूरा करता है।
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कंपनी की नौकरियाँ

Provider Relations Manager, Managed Care

Build Alignment Health’s San Antonio provider network through stronger engagement and performance. Support managed-care quality, growth, retention, utilization, and contracting.

USसंयुक्त राज्यTXटेक्सास
$54,434 – $81,651 / वर्ष
हाइब्रिडपूर्णकालिकजूनियरमध्य स्तरआवश्यक भाषा: अंग्रेज़ीअकाउंट मैनेजरबिक्री

विवरण

  • Build collaborative provider relationships that support growth, retention, and performance improvement.
  • Work with providers to improve KPIs such as Annual Wellness Visits, HEDIS gap closures, hospital and ER utilization, risk adjustment, and other quality measures.
  • Onboard providers and educate them on Alignment tools, clinical programs, PCP incentives, member benefits, the Model of Care, compliance, and company initiatives.
  • Help develop training materials and prepare provider in-service and implementation packets.
  • Resolve provider concerns involving utilization management, prior authorization, claims, encounter data, eligibility, rosters, and directory validation.
  • Represent Alignment Health at provider meetings, trainings, and community events; record minutes and action items.
  • Track provider engagement, visits, and outcomes using department databases and tools.
  • Negotiate and implement standard physician and ancillary agreements, secure provider credentialing, and track network recruitment.
  • Prepare weekly activity summaries and reports.
  • Attend staff meetings and complete special projects as assigned.
  • Visit provider offices across San Antonio, Bexar County, nearby areas, and New Braunfels.
  • Prepare provider performance reports and hold regular in-person meetings.

आवश्यकताएँ

  • At least two years of related experience or training, or an equivalent combination of education and experience.
  • Experience in provider relations or contracting with an HMO, IPA, medical group, or institutional provider.
  • Bachelor’s degree or an equivalent combination of education and experience.
  • English and Spanish bilingual skills preferred.
  • Organized, detail-oriented, and self-directed.
  • Strong analytical, quantitative, and problem-solving abilities.
  • Strong verbal and written communication skills.
  • Able to build relationships and work effectively on a team.
  • Strong presentation skills and ability to address diverse audiences effectively.
  • Proficiency with Microsoft Word, Excel, and PowerPoint.
  • Routine travel by car within the assigned market, 80% or more.
  • Air travel as needed.
  • Reliable transportation, a valid driver’s license, and automobile insurance required.
  • Able to work extended hours as needed.

लाभ

  • Mileage and travel expenses reimbursed under company policy.
  • Opportunities for growth and innovation.
  • Occasional travel for conferences, training, or team meetings.
  • Remote work available with approval.

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