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UNM Medical Group, Inc is hiring a Provider Relations Specialist to join our Office of Managed Care and Clinical Contract Services Team.
This busy and passionate team is looking for a highly motivated individual. The perfect candidate should have great customer service skills, be able to consistently and timely follow up on issues and have exceptional organizational skills.
This individual will help maintain relationships with Managed Care Payers and resolve issues for multiple areas of the health system.
This is full-time opportunity with hours being Monday thru Friday 8am to 5pm located in Albuqerque, New Mexico.
and serving as a primary liaison to provide communication, education, issue resolution and support to UNM Health System.
Minimum $56,618 - Midpoint $70,782*
Summary
Reporting to the Managed Care Director, the incumbent will be responsible for facilitating third party payer relations; tracking and resolving operational, administrative, financial and clinical issues related to managed care contracts affecting UNM Hospitals, UNM Medical Group, UNM Cancer Center;
oversight of operational meetings with UNM and third party payers; processing of various managed care contracts.
Minimum Job Requirements of a Provider Relations Specialist :
High school diploma or GED with 2 years directly related experience. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
Verification of education and licensure (if applicable) will be required if selected for hire.
Duties and Responsibilities of a Provider Relations Specialist :
Acts as primary point of contact among parties to address operational, administrative, financial and clinical issues affecting UNM providers, UNM Hospitals and third party payers.
Works effectively with all internal and external parties to resolve contractual issues in a timely manner.
Initiates and facilitates joint operating committee and other operational meetings with managed care organizations to resolve issues and provide timely follow up.
Responsible for drafting meeting agendas and minutes.
meets routinely with internal and external constituents to review issues and facilitate customer service.
recommends courses of action to be taken and coordinates action with interested department.
develops and implements projects and programs to assist in accomplishment of established goals.
About Managed Care and Clinical Contracting Services :
The Office of Managed Care and Clinical Contract Services Team consist of multiple teams that service the entire UNM Health System with contracting, value based care, and credentialing / provider enrollment.
The successful incumbent must have the ability to work independently with minimal supervision and coordinate multiple duties at a time in a fast-paced working environment with changing priorities.
About UNM Medical Group, Inc :
UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center.
we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.
Diversity, Equity and Inclusion Commitment :
We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.
Benefits :
UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, generous paid time off plan and 403b retirement for benefits eligible employees.
Apply to our Provider Relations Specialist opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly!
Last updated : 2024-04-28
Full Time
$49k-66k (estimate)
04/30/2024
05/30/2024
nmcenterforlanguageaccess.org
Albuquerque, NM
<25
The job skills required for Managed care specialist include Customer Service, Managed Care, Commitment, Billing, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Managed care specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Managed care specialist. Select any job title you are interested in and start to search job requirements.
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