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American Health Plans manages institutional special needs plans (I-SNPs) in nursing homes in several states by sharing plan ownership with the facilities. Our roots in managed care run deep. We owned and managed a Medicare Advantage plan with over 100,000 members across multiple product lines. We currently own one of the oldest provider-owned I-SNPs in the country and are rapidly developing new partnerships with nursing home owners. Today, you can find our managed care plans in 123 nursing homes, and we are rapidly developing new partnerships with nursing home owners.
POSITION SUMMARY:
The purpose of this position is to analyze assigned existing market needs, performs some standard contracting functions, educates providers and provider service entities, maintain business relationships for the Health Plan(s), reports on provider and market changes, acts as a support for other service areas for the Health Plan(s).
ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation
Required Skills:
Required Work Experience:
Licensing/Certification/Education Requirements:
Other Requirements:
Required Computer Software/Equipment Used:
Physical Requirements:
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Supervisory Responsibilities:
Full Time
$49k-62k (estimate)
05/16/2024
07/15/2024
americanhealthplansinsurance.com
Clinton Township, MI
The following is the career advancement route for Provider Relations Representative positions, which can be used as a reference in future career path planning. As a Provider Relations Representative, it can be promoted into senior positions as a Provider Relations Representative, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Provider Relations Representative. You can explore the career advancement for a Provider Relations Representative below and select your interested title to get hiring information.