Network Relations Manager

Role Overview

• Acts as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships
• Monitors service capabilities and collaborate cross-functionally
• Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
• Performs credentialing support activities as needed
• Educates Medicaid providers as needed to ensure compliance with contract policies and parameters
• Meets with key Providers at regular intervals to ensure service levels meet expectations
• Provides guidance and training to team members
• Collaborate with Provider Enablement & Strategy

Requirements

• A minimum of 5 years' work experience in healthcare
• Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to benefits and/or contract interpretation
• Working knowledge of business segment specific codes, products, and terminology
• Demonstrated expertise in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Travel within the defined territory up to 50-80% of the time
• Candidates must reside in the Central Texas Region

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility