Payor Provider Relations Manager

Job DetailsJob Location: Bristol Hospice - Salt Lake - SALT LAKE CITY, UT 84116Position Type: Full TimeSalary Range: $80,000.00 - $85,000.00 Salary/yearJob Shift: AnyThe Managed Care Provider/Payor Relations Manager will be responsible for obtaining, coordinating, managing, monitoring, and maintaining not only credentialing and recredentialing process for all Bristol Hospice sites nationally. This position will facilitate all aspects of payor/provider relations and credentialing activities including but not limited credentialing and contracting. The Manager will assist in compliance with the 
contracted managed care payors accrediting and regulatory agencies while developing and maintaining a working knowledge of the organizations guidelines, policy, procedures and Federal and State laws

Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn.

Our Culture

Our culture is cultivated using the following values:

Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.

Qualifications, Duties, PerksAn Average Day: 
(Includes, but not limited to)

Manage and perform all aspects of credentialing activities with contracts payors 
Work with internal staff to manage and obtain necessary documentation to submit to payor organizations for provider credentialing and recredentialing 
Work with Payors to request joining their provider network and obtain approval from payors to proceed forward with agreement
Maintain an extensive data base for all AIM providers credentialing documentation
Manage the flow of information between managed care payors Medicare, Medicaid, and PHOs/IPA affiliation
Communicate updated policies and procedures to staff members
Assist National Director of Contracting in developing Managed Care training materials
Other duties as assigned

Requirements:

Must have a bachelors’ degree in a related field
Must have at least one (1) year of administrative health care experience 
Must have at least one (1) year of hospice/homecare experience 
 

We Got the Perks: (full-time benefits)

Tuition Reimbursement
PTO and Paid Holidays
Medical, Dental, Vision, Life Insurance, and more
HSA & 401(k) available
Mileage Reimbursement for applicable positions
Advanced training programs
Passionate company culture committed to the highest standard of care in the hospice industry

Join a Team that embraces the reverence of life!

EEOC Statement

Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.