Manager, Provider Relations

Job Summary:

The Manager, Provider Relations is responsible for overseeing and encouraging the collaboration with key Health Partners in the development of specific strategies for enhanced operational engagement.

Essential Functions:

• Oversee the ownership of the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention.
• Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity.
• Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners/Providers.
• Ensure the training and development of Provider Relations Team to support provider relationships.
• Ensure the team’s strategic objectives are met, both in creating new plans and in identifying and responding to customer needs.
• Establish and maintain strong working relationships with key internal business leaders.
• Ensure Provider Relations team members are resolving complex or non-routine questions, issues, and problems efficiently and effectively.
• Develop and report on key accomplishments and issues to leadership.
• Set targets and priorities to contribute towards meeting overall CareSource goals and strategies.
• Develop, implement and manage an onboarding and education escalation process.
• Outwardly support and communicate CareSource mission and goals.
• Contribute to the training and development of team members.
• Analyze current work processes, identify gaps and implement proactive, innovative approaches.
• Ensure appropriate documentation of interactions and projects by all team members.
• Performs any other job related duties as requested.

Education and Experience:

• Bachelor's degree in Business Administration, or related field is required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Three (3) years of experience in the health plan/managed care industry required
• Previous Leadership experience preferred

Competencies, Knowledge and Skills:

• Proficient with Microsoft Office to include Word, Excel and PowerPoint
• Excellent written and verbal communications skills
• Ability to develop, prioritize and accomplish goals
• Detail oriented
• Strong interpersonal skills and high level of professionalism
• Effective listening and critical thinking skills
• Effective problem-solving skills with attention to detail
• Ability to work independently and within a team
• Strong negotiation skills
• Excellent leadership skills
• Ability to create and maintain excellent working relationships

Licensure and Certification:

• Six Sigma Certification or Project Management certification preferred
• Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated

Working Conditions:

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
  Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
  May be required to travel greater than 50% of time to perform work duties.
  Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer
  Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
• Routine travel required

Compensation Range:

$81,400.00 - $130,200.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

• Fostering a Col