
Provider Relations Manager, Michigan Medicaid
CVS Health
full-time
Posted on:
Location Type: Hybrid
Location: Detroit • Missouri • United 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