CommuniCare Health Services
CommuniCare Health Services

CommuniCare Health Services — Аризона штатының Гилберт қаласында жастар мен отбасыларға тұрақтылықты, сауығуды және төзімділікті нығайтуға бағытталған қызметтер арқылы қолдау көрсететін мінез-құлық денсаулығы жөніндегі агенттік. Оның жұмысына қауіпсіздікке, мүмкіндіктерді кеңейтуге және тұлғалық өсуге бағытталған ортадағы жағдайларды басқару, терапия, интернаттық емдеу және өмірлік дағдыларды үйрету кіреді.

Жиырма жылдан астам тәжірибесі бар CommuniCare Health Services әр адамның мәдени ұстанымдарын құрметтеп, қолдауды оның жағдайына бейімдеу арқылы қызмет көрсететін қауымдастықтарды нығайтуға ұмтылады. Оның командасы жастар мен отбасыларға практикалық әрі жанашыр мінез-құлық денсаулығы қызметтері арқылы оң нәтижелерге қол жеткізуге ықпал етеді.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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