CommuniCare Health Services
CommuniCare Health Services

CommuniCare Health Services — Arizona shtatining Gilbert shahrida yoshlar va oilalarni barqarorlik, sog‘ayish va bardoshlilikni rivojlantirishga qaratilgan xizmatlar orqali qo‘llab-quvvatlovchi xulq-atvor salomatligi agentligidir. Uning faoliyati xavfsizlik, imkoniyatlarni kengaytirish va shaxsiy rivojlanishga e’tibor qaratilgan muhitda ishlarni boshqarish, terapiya, rezident davolash hamda hayotiy ko‘nikmalar bo‘yicha murabbiylikni o‘z ichiga oladi.

Yigirma yildan ortiq tajribaga ega CommuniCare Health Services insonlarning individual madaniy e’tiqodlarini hurmat qilish va ko‘makni har bir kishining sharoitiga moslashtirish orqali xizmat ko‘rsatadigan jamoalarni mustahkamlashga intiladi. Uning jamoasi amaliy va mehr-shafqatli xulq-atvor salomatligi yordami orqali yoshlar va oilalar uchun ijobiy natijalarga hissa qo‘shadi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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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