Provider Relations Manager
Volunteers of America - National Services

The Provider Relations Manager will Manage and maintain the provider network and relationships across all VOANS PACE (Program of All-Inclusive Care for the Elderly) Organizations.

PACE locations include:
North Carolina, Michigan, Colorado and Kentucky

Benefit Highlights:

• 403(b) Retirement Plan
• Career scholarships;
• Continuing career education and leadership programs;
• Dental and Vision Insurance
• Paid Time Off (Vacation, Holiday & Sick Days)

Schedule: M-F 8:30am-5:30 PM (Fully Remote)

Essentials:

• Oversee and manage provider network across all VOANS PACE Organizations.
• Supervises Provider Relations Representative position(s).
• Initiates and maintains effective channels of communication with new and existing healthcare providers.
• Exhibits understanding and sets priorities to handle multiple tasks simultaneously, and designs work plans to track progress, resolve issues, and efficiently and effectively see tasks to completion.
• Completes orientations, training and development for new and existing network providers.
• Manages Provider Relations website.
• Manages Provider Relations claim system module.
• Conducts site visits to providers if necessary.
• Gathers, reviews, and verifies all pertinent information relating to participating healthcare providers.
• Collaborates with the Provider Relations Representative on projects.
• Works with the Third-Party Administrator and VOANS Claims and Contracting departments in resolving healthcare provider issues in a timely manner.
• Plan and facilitate meetings with current and future healthcare providers.
• Works with healthcare providers to adhere to contract and regulatory requirements.
• Prepares routine reports for the Sr. Director of Healthcare Operations on provider satisfaction and other provider metrics.

Required Qualifications:

• Bachelor's degree in Healthcare or Business Administration or closely related field.
• Minimum four years in client services, provider relations, and claims processing.
• Ability to communicate and work effectively with various levels of facility and VOA/VOANS staff and providers.

Preferred Qualifications:

• Knowledge of HIPAA law.
• Knowledge of PACE regulations.

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations' shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best

This job has expired.