Manager Provider Services
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![]() United States, New Mexico, Albuquerque | |||||||||||||||
![]() 1100 Central Avenue Southeast (Show on map) | |||||||||||||||
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Manager Provider Services
Overview Presbyterian is seeking a Manager - Provider Network Operations. The person in this position will ensure the integrity of provider service, contracting, development of new networks. Build and maintain strong relationships with providers to foster collaboration and improve communication. Educates providers with current and new protocols, policies, procedures. Provides leadership to the department staff whose focus is education, support, engagement, fostering relationships while recruiting providers. Acts as a key resource in mentoring and education of staff. Responsible for identifying issues, resolving and coordinating resolution of complex disputes or issues. Contributes to the overall optimization of the provider network, ensuring adequate access and coverage for members. Will manage and coordinate assignments and work productivity of supervised staff. Provides leadership and assistance to Supervisor, Trainer, Provider Executives, Provider Associates of Provider Network Operations. Provides direction and support for ensuring successful execution of contract compliance with Presbyterian Health Plan policy as well as compliance with applicable Medicare, Medicaid, third-party guidelines. Executes Presbyterian Health Plan's network development strategies and initiatives.
This is a Full Time position - Exempt: Yes
The ideal candidate will have:
Join a workplace where compassion meets purpose. Apply today! Qualifications
Responsibilities
Benefits About Presbyterian Healthcare Services The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives. As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to USD $52.95/Hr. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Need help finding the right job? We can recommend jobs specifically for you!
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