CVS Health

Provider Relations Manager, Michigan Medicaid

CVS Health

full-time

Posted on:

Location Type: Hybrid

Location: DetroitMissouriUnited States

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Salary

💰 $60,300 - $132,600 per year

About the role

  • Acts as the primary resource for assigned, high profile providers and/or groups to establish, oversee, and maintain positive relationships
  • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
  • Monitors service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met
  • 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
  • Manages the development of agenda, validates materials, and facilitates external provider meetings
  • Collaborate cross-functionally with the implementation of large provider systems
  • May provide guidance and training to less experienced team members.

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.
  • Travel within the defined territory up to 50-80% of the time.
  • Candidates must reside in the state of Michigan.
Benefits
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
database managementcredentialing supportcontract coordination
Soft Skills
relationship managementcollaborationcommunicationtrainingfacilitation