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  • Administrative Nurse Manager

    Ohiohealth 4.3company rating

    Manager, provider relations job in Marion, OH

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position ensures the delivery of evidence-based practice by professional nursing personnel and other staff in the designated area of responsibility. They are responsible for planning, organizing, directing, and evaluating the delivery of evidence-based patient care in a cost effective manner. The Manager operationalizes the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth. They are accountable and responsible for administrative and fiscal management of the department and in meeting the goals in all four quadrants of the balanced scorecard at the unit/department level. In addition, they will contribute significantly to the overall goals and objectives of the organization. Responsibilities And Duties: 30% Patient Care Assumes accountability for ongoing delivery of patient care during all operating hours; maintains a broad awareness of daily operations to guide patient care delivery; assures application of the nursing process by Registered Nurses in the clinical setting assessment, planning, implementation and evaluation ; assures documentation of patient care in the medical record. Uses data from various sources to initiate continuous quality improvement at the unit level. Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care. Accountable for nursing practice in a safe environment. Participates in process improvement activities and root cause analysis investigations. 30% Operations and Personnel Management 1. Develops and is responsible for annual operational and capital budget. Manages resources to remain within established budget and controls materials, supplies, and equipment necessary for unit operations. Ensures that budget and program objectives are met. 2. Develops budgeted fiscal year staffing plans. Develops, maintains, and evaluates effectiveness of position control i.e. development of labor budget, determination of FTEs, scheduling FTEs and final approval to ensure compliance with staff plan . 3. Ensures provision of qualified human resources to identified patient care needs; develops, coordinates and approves staffing time schedules, considering scope of practice, competencies, patient needs, and staff competency. 4. Responsible for recruitment, selection, retention and evaluation of personnel. Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel. 5. Effectively evaluates performance of personnel. Advocates work environment that minimizes work-related illness or injury. 6. Assesses impact of, and plans strategies to address, diversity, ethics and the changing needs of society. Strives to provide a workforce reflecting population diversity. Ensures delivery of culturally competent care and healthy, safe working environment. 7. Uses information systems to retrieve, implement, and retain essential records and services. 15% Leadership 1. Facilitates development of leadership activities and promotes staff and self-attendance at meetings and educational programs. Actively participates in organizational committees and decision making. 2. Provides input into executive level decisions; keeps staff informed of executive level activities. 3. Facilitates atmosphere of participative management and development of collegial relationships among nursing staff; ensures registered nurse participation in decision making at the unit level. Participates on Shared Governance Councils. Serves as a link between nursing staff and other health care disciplines, both within and outside of organized nursing services. Actively participates in interdepartmental relationship building. 4. Participates in nursing policy formation and decision making. Identifies methods to achieve and monitor compliance with requirements of regulatory organizations. 5. Participates in renovation and project management. 6. Actively participates in service line growth and practice innovation. 7. Actively participates in strategic planning activities. 15% Professional Development 1. Contributes to development of self and staff through educational programs to meet identified learning needs and through written performance recognition and/or disciplinary procedures. 2. Facilitates and encourages staff to obtain relevant specialty certification. Earns and maintains appropriate specialty certification. 3. Participates in education of nursing and other students in health care environment. 4. Participates and encourages staff to participate in organizational policy formation and decision making. 5. Actively participates in divisional, departmental and hospital/organization activities. Develops and maintains professional competencies by attending educational programs and participation in professional organizations. Seeks opportunities for publication, presentation, and professional leadership in professional and community societies. 6. Serves as a member or officer of community groups or agencies; participates and assumes leadership roles in professional organizations and encourages staff participation. 10% Research and Evidence-Based Practice 1. Ensures an evidence-based practice environment. Facilitates dissemination of research findings and integration of evidence-based guidelines and practices in the health care setting. 2. Identifies areas of clinical and administrative inquiry suitable for nurse researchers.3 . Identifies key measures for department success, based on hospital/organization goal and objectives. Monitors progress of goals and develops actions to attain goals. 4. Communicates goals to staff and others in the organization. Minimum Qualifications: Bachelor's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: Specialized Knowledge: Process improvement skills. Project management skills. May require advance training in specialty areas. Skills in computer applications as appropriate to area(s) of responsibility. Demonstrated skills in interpersonal relationships, verbal and written communication, management, adult education and nursing practice standards. Minimum 3 years clinical nursing experience. Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, or department committee leadership. Work Shift: Day Scheduled Weekly Hours : 40 Department Medical Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $73k-91k yearly est. 3d ago
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  • Division Practice Manager - Insight & Data

    Sogeti 4.7company rating

    Manager, provider relations job in Columbus, OH

    Division Practice Manager - Insights & Data Location: Sogeti North East Division (Connecticut, D.C., Maryland, Massachusetts, New Jersey, New York, Pennsylvania and Virginia) As a Division Practice Manager for Insights & Data (I&D), you will drive presales efforts for large-scale Data and AI programs, lead a high-performing team of data and analytics professionals, drive client engagements, and ensure delivery excellence across the I&D portfolio. This role requires strong thought leadership, strategic vision, and the ability to deliver innovative data-driven solutions that create measurable business value for our clients. What you will do at Sogeti: Presales Leadership: Drive presales efforts for large-scale Data and AI programs, including solutioning and proposal development. Team Management: Lead and mentor a team of data engineers, BI specialists, automation experts, and data scientists. Oversee engagements, talent acquisition, and professional development. Engagement Delivery: Manage complex, large-scale data and analytics programs, including strategy, implementation, and operational run phases. Client Partnership: Serve as a trusted advisor to clients, ensuring exceptional service delivery, managing expectations, and presenting insights effectively. Solution Ownership: Own end-to-end solutioning, client management, and delivery of data and analytics projects. Business Growth: Collaborate with account teams on pre-sales activities, research, and solutioning. Partner with alliances for joint go-to-market opportunities. Capability Development: Drive continuous improvement of data and analytics capabilities, develop new assets, and contribute to go-to-market strategies. What you will bring: Proven experience in presales, with a track record of selling Data and AI programs valued at $10M+. 10+ years of experience delivering large-scale data and analytics engagements. Expertise across the full data lifecycle: integration, management, architecture, governance, quality, automation, and data science. Ability to define business cases, measure outcomes, and communicate insights through compelling storytelling. Strong client-facing skills, capable of engaging at all levels from executives to engineers. Hands-on technical proficiency and ability to coach teams when needed. Deep knowledge of data and analytics ecosystems across Azure (required), AWS, and Google Cloud, including tools such as SQL, Azure Data Lake, Synapse, Azure ML, and Purview. Must be located in the Columbus or Cincinnati Ohio. Personal Attributes Strategic thinker and thought leader with strong executive presence. Thrives in a fast-paced, agile environment. Highly motivated, self-driven, and accountable for delivering exceptional client outcomes. Able to work independently with minimal supervision. Education Bachelor's or Master's degree in Computer Science, Software Engineering, Information Systems, Business Administration, or a related field. Life at Sogeti - Sogeti supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer: Flexible work options 401(k) with 150% match up to 6% Employee Share Ownership Plan Medical, Prescription, Dental & Vision Insurance Life Insurance 100% Company-Paid Mobile Phone Plan 3 Weeks PTO + 7 Paid Holidays Paid Parental Leave Adoption, Surrogacy & Cryopreservation Assistance Subsidized Back-up Child/Elder Care & Tutoring Career Planning & Coaching $5,250 Tuition Reimbursement & 20,000+ Online Courses Employee Resource Groups Counseling & Support for Physical, Financial, Emotional & Spiritual Well-being Disaster Relief Programs About Sogeti Part of the Capgemini Group, Sogeti makes business value through technology for organizations that need to implement innovation at speed and want a local partner with global scale. With a hands-on culture and close proximity to its clients, Sogeti implements solutions that will help organizations work faster, better, and smarter. By combining its agility and speed of implementation through a DevOps approach, Sogeti delivers innovative solutions in quality engineering, cloud and application development, all driven by AI, data and automation. Become Your Best | ************* Disclaimer Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law. This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship. Capgemini is committed to providing reasonable accommodation during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact. Please be aware that Capgemini may capture your image (video or screenshot) during the interview process and that image may be used for verification, including during the hiring and onboarding process. Click the following link for more information on your rights as an Applicant ************************************************************************** Applicants for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by Capgemini. Capgemini discloses salary range information in compliance with state and local pay transparency obligations. The disclosed range represents the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting, although we may ultimately pay more or less than the disclosed range, and the range may be modified in the future. The disclosed range takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, geographic location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs. At Capgemini, it is not typical for an individual to be hired at or near the top of the range for their role. The base salary range for the tagged location is $190,000 - $210,000. This role may be eligible for other compensation including variable compensation, bonus, or commission. Full time regular employees are eligible for paid time off, medical/dental/vision insurance, 401(k), and any other benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
    $190k-210k yearly 2d ago
  • Bilingual Behavioral Health Care Manager

    Heritage Health Network 3.9company rating

    Remote manager, provider relations job

    This role works closely with Care Team Operations, Clinical Operations, Behavioral Health clinicians (LMFT/LCSW/LPCC), Community Health Workers (CHWs), Compliance, Finance (for authorizations), Care Operations Associates, and external partners including hospitals, primary care providers, behavioral health agencies, housing providers, and community-based organizations. Responsibilities Serve as the primary point of contact for assigned members with behavioral health and psychosocial complexity, building trust through consistent, trauma-informed engagement. Conduct comprehensive, holistic assessments addressing behavioral health, substance use, functional status, social determinants of health, safety risks, and care gaps. Develop, implement, and maintain person-centered care plans that integrate behavioral, medical, and social goals; update plans following transitions of care or changes in condition. Coordinate services across the continuum of care, including behavioral health providers, primary care, hospitals, housing supports, transportation, social services, and community-based organizations. Conduct required in-person home or community visits based on acuity, risk stratification, and payer requirements. Support Transitions of Care (TOCs) by completing timely follow-up, coordinating post-discharge services, and reinforcing discharge instructions and medication understanding. Utilize motivational interviewing, behavioral coaching, and health education to promote engagement, adherence, self-management, and long-term member stability. Identify, escalate, and address behavioral health risks, safety concerns, service delays, benefit lapses, and environmental barriers using HHN escalation protocols. Coordinate and track referrals, appointments, transportation, and follow-ups to ensure continuity and timeliness of care. Maintain accurate, timely, and audit-ready documentation of all assessments, encounters, and interventions in eClinicalWorks (ECW) and other HHN systems. Meet or exceed HHN and health plan productivity standards, including outreach cadence, encounter requirements, documentation timeliness, TOC completion, and quality measures. Actively participate in multidisciplinary case reviews, care conferences, team huddles, and escalations with nurses, behavioral health clinicians, CHWs, care operations, and compliance. Assist members with plan navigation, eligibility redeterminations, social service applications, housing resources, and crisis intervention support. Communicate professionally with members and care partners using HHN-approved channels, including phone, RingCentral, secure messaging, and SMS workflows. Contribute to continuous quality improvement efforts by identifying workflow gaps, documenting barriers, and sharing insights to improve care delivery. Uphold confidentiality and comply with all HIPAA, Medi-Cal, ECM, and payer regulatory requirements. Remain flexible and responsive to member needs, including field-based work and engagement in community settings. Skills Required Bilingual (English/Spanish) proficiency required to support member engagement and care coordination. Strong ability to build rapport and trust with diverse, high-need member populations. Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools. Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals. Demonstrated skill in conducting holistic assessments and developing person-centered care plans. Experience with motivational interviewing, trauma-informed care, or health coaching. Strong organizational and time-management skills, with the ability to manage a complex caseload. Excellent written and verbal communication skills across in-person, telephonic, and digital channels. Ability to work independently, make sound decisions, and escalate appropriately. Knowledge of Medi-Cal, SDOH, community resources, and social service navigation. High attention to detail and commitment to accurate, audit-ready documentation. Ability to remain calm, patient, and professional while supporting members facing instability or crisis. Comfortable with field-based work, home visits, and interacting in diverse community environments. Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences. Competencies Member Advocacy: Champions member needs with urgency and integrity. Operational Effectiveness: Executes workflows consistently and flags process gaps. Interpersonal Effectiveness: Builds rapport with diverse populations. Collaboration: Works effectively within an interdisciplinary care model. Decision Making: Uses judgment to escalate or intervene appropriately. Problem Solving: Identifies issues and creates practical, timely solutions. Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes. Cultural Competence: Engages members with respect for their lived experiences. Documentation Excellence: Produces accurate, timely, audit-ready notes every time. Strong empathy, cultural competence, and commitment to providing individualized care. Ability to work effectively within a multidisciplinary team environment. Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Job Requirements Education: Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field. Licensure: Licensed LMFT, LCSW, LPCC.; certification in care coordination or CHW training is a plus. Experience: 1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations. Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred. Familiarity with Medi-Cal, ECM, and community resource navigation. Travel Requirements: Regular travel for in-person home or community visits (up to 45%). Physical Requirements: Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
    $61k-76k yearly est. 2d ago
  • Nurse Manager $32-$35 (PRN)

    Arrow Senior Living 3.6company rating

    Manager, provider relations job in Hilliard, OH

    After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the residents but for the team members as well. From day one you embrace the core values, and you see how they impact residents quality of life. Arrow is a great company to grow with-it promotes within and the employee appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work. -Arrow Team Member Position-Wellness Nurse Manager Position Type: PRN Location: Hilliard, Ohio Our starting wage for Wellness Nurse Manager is: $32-$35per hour! Shift Schedule- PRN On Call Rotation: One Saturday or Sunday shift per month Come join our team at Carriage Court Senior Living located at 3570 Heritage Club Dr. Hilliard, Ohio 43026! We are looking for someone (like you): To be a Superior Supervisor: In the absence of department heads, this position is in charge of the building. Be active in the department, assisting and leading the Wellness team and other departments in ensuring quick, reliable, and person-centered care is provided. To be a Force on the Floor: A good leader sets a good example: Be available to help with call lights, requests for assistance from the team, and demonstrate a sense of urgency that puts the needs, great or small, of a resident first. To be a Diligent Documenter: Resident assessments, medical records, and internal documents should be completed accurately and efficiently, and filed correctly. To be a Compassionate Caregiver: Exemplify the core values at the heart of Arrow, ensuring each interaction with a resident is professional, caring, and ends with the resident feeling safe and cared for. What are we looking for? You must have current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in good standing within state of employment You will have thorough working knowledge of current care standards and regulations You will have comprehensive working knowledge of current medication regulation and law You will have knowledge of the requirements for providing care and supervision appropriate to the residents. You may have experience in hands-on care of memory impaired residents is preferred, but not required. You may have experience with an Electronic Medical Record (EMR) as it is preferred, but not required. You can read, write, understand and communicate in English with our Residents! You will have a positive and energetic attitude who will LOVE our Residents! You must be active as this role requires standing, walking, bending, kneeling, and stooping all day. You must have the ability to frequently lift and/or move items up to 50 pounds and perform two-person transfers. You must be able to assist residents with sitting, standing and walking, as well as assisting persons after a fall. You must be criminally cleared. Employment Benefits (We value our benefits): Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time) Disability insurance (Full Time) Employee assistance program Weekly Employee Recognition Program Life insurance (Full Time) Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year) Tuition Reimbursement (after 90 days for FT AND PT employees) Employee Referral Program (FT, PT, and PRN) Complimentary meal each shift (FT, PT, and PRN) Daily Pay Option Direct Deposit Did we mention that we PROMOTE FROM WITHIN? Do you want to see how much fun we are at Carriage Court Senior Living? Please visit us via Facebook: ************************************************************ Or, take a look at our website: ********************************** Have questions? Want to speak to someone directly? Reach out by calling/texting your own recruiter, Sophie Rich at ************. Click here to hear about Arrow's Core Values! About the company Arrow Senior Living manages a collection of senior living communities that offer varying levels of care including independent living, assisted living, and memory care in 25 properties currently in 5 states (Missouri, Iowa, Illinois, Ohio, Indiana) and employs nearly 1,400 employees! Arrow Senior Living YouTube-Click Here Arrow Senior Living serves and employs individuals of all faiths, regardless of race, color, gender, sexual orientation, national origin, age or handicap, except as limited by state and federal law. Keywords: hiring immediately, assisted living, nursing home, LPN, Licensed Practical Nurse, wellness, RN, registered nurse, wellness nurse Required Preferred Job Industries Healthcare
    $32-35 hourly 4d ago
  • Home Base Practice Manager

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Remote manager, provider relations job

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. Job Summary Responsible for single-site practice or smaller multi-site practices (3 or more locations). Provides direct supervision of administrative and clinical support staff, and operational duties and functions. As a member of the leadership team, provides administrative cross coverage to manage staffing and/or operational issues. Does this position require Patient Care? No Essential Functions Oversees the day-to-day administrative performance of secretarial and clinical support staff and manages staff schedules. -Evaluates daily staffing needs and coordinates replacement of staff. -Performs hiring, orientation, and evaluation of staff. Administers corrective action if appropriate. -Assists in the career development of practice employees through ongoing coaching, counseling, and training. -Ensures that all mandatory training is completed by staff and that HIPAA policies and procedures are adhered to by staff. -Evaluates, develops, and implements administrative systems and procedures designed to maximize practice operations. Regularly evaluates and analyzes practice performance metrics to ensure optimal outcomes. -Collaborates with practice leaders on the preparation of the practice's annual budgets. -Oversees the department's payroll, including the resolution of payroll issues. Monitors patient billing activity to ensure compliance with revenue procedures. • Directly manage team of Patient Services Coordinators in all duties including schedule, training, supervision, evaluation, and performance improvement • Assess, direct, and support a range of programmatic issues including front desk operations and staffing, psychiatric billing, managed care/billing troubleshooting, resolving mental health patient issues in the clinic, and supporting clinicians. • Provide cross coverage to manage staffing and/or operational issues in a time sensitive manner • Work with Facilities Management staff to ensure that the physical environment is maintained. Assist in establishment and enforcement of safety regulations, following established protocols, and ensure compliance with the Joint Commission, OSHA, HIPAA, and Hospital guidelines. -Entry-Level Manager Role. Qualifications Education Bachelor's Degree Related Field of Study required Can this role accept experience in lieu of a degree? Yes Licenses and Credentials Experience Supervisory experience 5-7 years required and Experience working in a healthcare environment 5-7 years required Knowledge, Skills and Abilities - Strong understanding of Microsoft Office, including Excel. - Strong communication and organizational skills. - Strong and proven leadership skills. - Ability to work with staff of all levels. - Excellent time management skills. - Strong analytical and math skills. - Knowledge of Accounting Principles, physician billing, and revenue cycle management. - Ability to adapt to multiple and rapidly changing priorities and deadlines. Additional Job Details (if applicable) Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $64,708.80 - $94,151.20/Annual Grade 7 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $64.7k-94.2k yearly Auto-Apply 3d ago
  • Manager, Strategic Provider Support

    Blue Shield of North Carolina 4.7company rating

    Remote manager, provider relations job

    We are seeking a dynamic leader to drive excellence in provider, member, and business partner interactions while fostering strong, productive relationships. This role partners with stakeholder leadership to shape business strategies that support operational efficiency and deliver an exceptional member experience. As the Manager, Contact Center, you will provide vision, direction, and leadership to a high-performing, customer-facing team. You will oversee strategic functions that ensure compliance with state, federal, and BCBSA standards, while empowering team members to achieve peak performance. Success in this role requires building collaborative relationships across the organization and inspiring a culture of accountability, innovation, and service. What You'll Do People Management Develop performance goals and track performance against established goals. Handle complex employee issues. Conduct random audits of teams work. Review audit results with staff and create performance improvement plans as necessary. Develop and implement training plans to ensure growth and development for staff. Develop staff provider relation skills and provider communication through formal and informal training, coaching, and feedback. Interpret and analyze complex data from staffing models and other sources to identify issues and make recommendations for effective solutions. Develop resource allocation strategies to meet changing business demands. Stakeholder Engagement Represent BCBSNC in stakeholder meetings to address stakeholder inefficiencies and to ensure contractual compliance. Plan all on-site visits to stakeholders to educate on BCBSNC medical or administrative policies and procedures. Address stakeholder concerns and non-compliance contract/administrative issues. Coordinate the required corrective actions. Partner with assigned stakeholders to understand their processes, procedures and systems as they relate to the way they conduct business with BCBSNC. Develop and maintain extensive knowledge of key stakeholders and/or regional territories. Leverage knowledge base to forward Enterprise relationships with stakeholders. Track stakeholder issues for root-cause analysis, escalation, and closure. Document issue resolution using issue resolution protocol. Comply with state, federal and BCBSA regulations governing stakeholders and suggests implementation of any product, process, or system modifications to ensure compliance. Identify opportunities to control medical expense and deploy action plans to accomplish stakeholder-specific or regional medical expense goals. Participate in negotiations with stakeholders as needed. Project/Program and Operations Support Manage day-to-day consultative activities for a high-profile healthcare system. Participate in and support negotiations as needed. Assist in the analysis of all products, identify any deficiencies and make recommendations for improvement. Provide analysis and feedback for technologies, trends, best practices and service offerings to incorporate them into overall stakeholder business solutions. Lead team of onsite coordinators in identifying, analyzing, and resolving complex operational issues impacting the healthcare system. Act as technical resource for the team providing assistance on system issues, work processes, and procedures. Represent the department on corporate projects that require independent, sound decision making and broad-based understanding of the effects on the department as a whole. Develop and recommend short- and long-term service objectives and methods, implement these methods when approved. Respond quickly and accurately to escalated issues from clients and customers. Review customer needs and delivery commitments and review with team members. Identify, analyze and resolve complex high dollar operational issues impacting the healthcare system they are responsible for or the members and groups that they serve. Use the appropriate Stakeholder Service Model to increase customer satisfaction and reduce administrative costs. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field LEAN certification advanced within 12 months of hire. Bonus Points Experience in provider interactions with institutional, professional and ancillary providers. Experience in claims, customer service, membership, enrollment or a call center environment. Experience managing a project Ability to interpret policy provisions Make sound and independent business decisions in high pressure situations Excellent interpersonal and relationship building skills Strong data analysis and problem-solving skills Knowledge of institutional and ancillary pricing, health care finance, hospital and ancillary payments Strong negotiation skills Ability to effectively manage multiple high priority and high-profile tasks/provider relationships What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $73,698.00 - $117,917.00 Skills Action Planning, Business, Business Strategies, Coaching, Customer Satisfaction, Decision Making, Leadership, People Management, Performance Improvements, Problem Resolution, Problem Solving, Relationship Building
    $73.7k-117.9k yearly Auto-Apply 6d ago
  • Manager Payor Relations

    Fmolhs Career Portal

    Remote manager, provider relations job

    Responsible for the financial pricing and analysis of all governmental and commercial insurance contracts for FMOLHS facilities and all affiliated entities. Works collaboratively with Revenue Cycle, Revenue Management, Business Office, Medical Management and operational departments to ensure the accuracy of payment data, the optimization of reimbursements and the implementation and administration of all managed care contracts. 5 years Hospital, Physician Office or Managed Care Experience Bachelor's Degree Strong Math and Logic Skills Reimbursement methodology skills a plus 1. Financial Analyst Develops and maintains financial information related to volume, financial performance and profitability for each managed care contract for all FMOLHS affiliated entities. Extracts and analyzes historical data to help direct reimbursement strategies. Responsible for updating and maintaining the Contract Management module of the cost accounting system to ensure accurate financial reporting and analysis of payor data. Works with all FMOLHS affiliated entities and their information systems to identify revenue enhancement opportunities and to quantify the financial impact of changes to contract reimbursements. Facilitates the operational process of managed care contracts by working with internal and external stakeholders to ensure policies and procedures are followed by hospital personnel in a manner that facilitates high quality patient care and accurate reporting. Assists Corporate Director of Payor Relations with contract negotiations for FMOLHS hospital and affiliated entities. Possesses the ability to resolve day-to-day managed care operational issues with contracted payers and serves as a liaison to FMOLHS hospitals and medical staff to provide continuous communication in regards to managed care contracts, plans and products. Responsible for benchmarking payment rates and cost to other hospitals, surgery centers, clinics or health systems. Analyzes and prepares clinical and financial data in requested operational service lines. Serves as the financial analyst in the supporting of partnerships and joint venture arrangements Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations. Preferred: EPIC Certifications must be obtained within 12 months of employment Resolute Professional Billing Reimbursement Contracts and Resolute Hospital Billing Expected Reimbursement Contracts Administration
    $49k-70k yearly est. Auto-Apply 60d+ ago
  • Provider Relations Director

    Modivcare

    Remote manager, provider relations job

    Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, implementing, and maintaining a compliant, effective, and efficient transportation provider network within assigned markets. The Director will oversee all programs across these markets, ensuring consistent, high-quality service delivery and operational leadership. This role will also manage client relationships and client contracts for their region. This position will drive key strategies related to provider performance, compliance, and risk mitigation, while also cultivating a culture of engagement and continuous improvement. This position will ultimately be on-site in the Little Rock area. This role… Establishes and monitors key performance indicators (KPIs) for transportation providers and prepares performance and compliance reports for leadership review. Acts as an escalation point for complex provider issues and facilitates resolutions. Provides operational guidance, compliance support, and technology training to transportation providers. Ensures provider quality standards are met and swiftly addresses any deficiencies. Leads provider relations efforts across markets in alignment with regional and corporate objectives. Partners with the Network team to execute network expansion strategies and risk mitigation plans. Oversees provider credentialing compliance and collaborates with credentialing teams to streamline processes. Coordinates with internal business units (e.g., Safety, Network Planning, Product, Finance, IT, HR, and CI) to align initiatives and secure support. Administers corrective action plans for provider contract deficiencies and approves liquidated damages when appropriate. Remains informed on industry trends, competitor activity, and regulatory developments to inform strategic direction. Champions employee engagement and development through proactive talent planning and mentoring. Creates an environment of innovation and continuous improvement through Lean initiatives and process enhancements. Leads talent strategy across state reports including succession planning, employee engagement, and performance management. Serves as main point of contact for clients and manages the client contract. May lead projects and perform other duties as assigned. Requires some local travel to meet with clients. We are interested in speaking with individuals with the following… Bachelor's degree required. Ten (10) plus years of experience in NEMT, logistics, or healthcare preferred. Five (5) plus years of leadership experience. Advanced industry experience preferred. Contract and client management experience strongly preferred. Tableau experience preferred. Or equivalent combination of education and/or experience. Ability to lead development, execution, and deployment of provider network initiatives. Strong organizational planning and budgetary administration skills. Proficient in statistical and financial analysis techniques. High proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint). Excellent relationship management and process improvement abilities. Effective written and verbal communicator with strong presentation skills. Strong listening and interpersonal skills with a customer-focused, results-oriented mindset. Salary: $111,000 - $149,900 Bonus eligible based on individual and company performance. Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at ***************************
    $49k-70k yearly est. Auto-Apply 17d ago
  • Manager, Strategic Provider Support

    Blue Cross Nc 4.8company rating

    Remote manager, provider relations job

    We are seeking a dynamic leader to drive excellence in provider, member, and business partner interactions while fostering strong, productive relationships. This role partners with stakeholder leadership to shape business strategies that support operational efficiency and deliver an exceptional member experience. As the Manager, Contact Center, you will provide vision, direction, and leadership to a high-performing, customer-facing team. You will oversee strategic functions that ensure compliance with state, federal, and BCBSA standards, while empowering team members to achieve peak performance. Success in this role requires building collaborative relationships across the organization and inspiring a culture of accountability, innovation, and service. What You'll Do People Management Develop performance goals and track performance against established goals. Handle complex employee issues. Conduct random audits of teams work. Review audit results with staff and create performance improvement plans as necessary. Develop and implement training plans to ensure growth and development for staff. Develop staff provider relation skills and provider communication through formal and informal training, coaching, and feedback. Interpret and analyze complex data from staffing models and other sources to identify issues and make recommendations for effective solutions. Develop resource allocation strategies to meet changing business demands. Stakeholder Engagement Represent BCBSNC in stakeholder meetings to address stakeholder inefficiencies and to ensure contractual compliance. Plan all on-site visits to stakeholders to educate on BCBSNC medical or administrative policies and procedures. Address stakeholder concerns and non-compliance contract/administrative issues. Coordinate the required corrective actions. Partner with assigned stakeholders to understand their processes, procedures and systems as they relate to the way they conduct business with BCBSNC. Develop and maintain extensive knowledge of key stakeholders and/or regional territories. Leverage knowledge base to forward Enterprise relationships with stakeholders. Track stakeholder issues for root-cause analysis, escalation, and closure. Document issue resolution using issue resolution protocol. Comply with state, federal and BCBSA regulations governing stakeholders and suggests implementation of any product, process, or system modifications to ensure compliance. Identify opportunities to control medical expense and deploy action plans to accomplish stakeholder-specific or regional medical expense goals. Participate in negotiations with stakeholders as needed. Project/Program and Operations Support Manage day-to-day consultative activities for a high-profile healthcare system. Participate in and support negotiations as needed. Assist in the analysis of all products, identify any deficiencies and make recommendations for improvement. Provide analysis and feedback for technologies, trends, best practices and service offerings to incorporate them into overall stakeholder business solutions. Lead team of onsite coordinators in identifying, analyzing, and resolving complex operational issues impacting the healthcare system. Act as technical resource for the team providing assistance on system issues, work processes, and procedures. Represent the department on corporate projects that require independent, sound decision making and broad-based understanding of the effects on the department as a whole. Develop and recommend short- and long-term service objectives and methods, implement these methods when approved. Respond quickly and accurately to escalated issues from clients and customers. Review customer needs and delivery commitments and review with team members. Identify, analyze and resolve complex high dollar operational issues impacting the healthcare system they are responsible for or the members and groups that they serve. Use the appropriate Stakeholder Service Model to increase customer satisfaction and reduce administrative costs. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field LEAN certification advanced within 12 months of hire. Bonus Points Experience in provider interactions with institutional, professional and ancillary providers. Experience in claims, customer service, membership, enrollment or a call center environment. Experience managing a project Ability to interpret policy provisions Make sound and independent business decisions in high pressure situations Excellent interpersonal and relationship building skills Strong data analysis and problem-solving skills Knowledge of institutional and ancillary pricing, health care finance, hospital and ancillary payments Strong negotiation skills Ability to effectively manage multiple high priority and high-profile tasks/provider relationships What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $73,698.00 - $117,917.00 Skills Action Planning, Business, Business Strategies, Coaching, Customer Satisfaction, Decision Making, Leadership, People Management, Performance Improvements, Problem Resolution, Problem Solving, Relationship Building
    $73.7k-117.9k yearly Auto-Apply 6d ago
  • Provider Relations Representative II - Dental - Chicago

    Avesis

    Remote manager, provider relations job

    Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. At Avesis, the Provider Relations Representative plays a vital role in connecting our dental provider community with the resources, education, and support they need to thrive. As a key member of our Provider Relations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way. If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avesis's mission of delivering high-quality, accessible dental care to our members, while also supporting and nurturing the growth of our provider community. Join us in making a meaningful impact on the healthcare space! In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field. You will lead efforts to foster the best-in-class provider education, tackle provider inquiries and issues, and manage a variety of initiatives that enhance our relationships with the provider network. Our chosen candidate must reside within the city of Chicago or near suburbs due to the travel component of this role. Functional Competencies: Provider Relations encompasses several diverse provider administrative duties to improve the Avesis provider experience including direct provider engagement and training with the goal of resolution of issues. Conduct provider outreach via in-person/video/phone or email by providing training, orientation, and coaching for performance improvement within provider practices. Provide guidance through education to enable Avesis network providers to become more self-sufficient in confirming eligibility, claims submission and payment by use of available tools. Consistently documents all provider interactions, including calls, emails, virtual and in-person visits, in accordance with departmental standards. Ensures that notes are clear, timely, and accurately reflect the nature of the communication to support ongoing relationship management, issue resolution, and continuity of service across teams. Maintains thorough and timely records to ensure accountability, transparency, and effective information sharing across teams. Conduct monthly and/or quarterly meetings with provider groups documenting discussions, issues, attendees, action items, researching claims or prior authorization issues on site and routing to the appropriate party for resolution. Owns and manages relationship and performance of assigned provider groups. Serves as the primary point of contact for assigned providers. Communicate and shares provider claims and directory reporting both internally and externally and additional reporting as necessary. Complete provider orientation via phone, email, in-person and/or virtually for all applicable product lines to train, resolve issues, and educate staff/providers. Perform onsite facility reviews, when applicable and conduct quarterly face-to-face visits within the assigned territory and/or market. Work closely and coordinates with Avesis Claims, Customer Service, Utilization Management, Clinical Management, Credentialing, Recruitment, Account Management, and other staff to develop operational solutions for various provider network projects. Educate providers regarding state program, group policies, and/or health plan policies and procedures and state/federal regulation for compliance requirements. Investigate and respond to complex provider related issues and initiate change of provider demographic related database information. Responds to general provider contract inquiries, provider education and non-routine claim issues. Attend work-related events/conferences while representing the organization and brand in a professional manner. Coaches, mentors, and develops junior team members as applicable. Core Competencies: Knowledge of health plan operations preferred. Knowledge of provider/health plan contracts/agreements highly desired. Microsoft applications and other windows-based applications to include an intermediate level in Microsoft Excel and databases. Knowledge of and intermediate ability to use various computer programs such as Microsoft Office including spreadsheets, databases, word processing and presentation software and programs/systems utilized in data analysis. 1 years' experience with provider credentialing and contracting process preferred. 1 to 2 years of health insurance claims, as well as ability to analyze data to resolve provider claim issues preferred. Behavioral Competencies Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. Initiative: readiness to lead or take action to achieve goals. Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing. Member-focused: going above and beyond to make our members feel seen, valued, and appreciated. Detail-oriented and thorough: managing and completing details of assignments without too much oversight. Flexible and responsive: managing new demands, changes, and situations. Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task. Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required. Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties. Minimum Qualifications: High School Diploma or equivalent. 1 to 2+ years of Dental office experience. Comprehension of Medical/Dental Terminology. Must reside within the city of Chicago or near suburbs A valid driver's license with proof of auto insurance and the ability to use your own vehicle. The ability to travel up to 50% is required to meet prospective clients, existing customers, attend trade shows and other meetings as needed. Travel times may vary and can range from short overnight trips to extended stays. As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient. Preferred Qualifications: Bachelor's degree Previous Provider Relations Experience Certified Dental Assisting National Board (DANB) certified or Certified dental assistance (CDA). At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are: Zone A: $46,080.00-$76,800.00 Zone B: $50,220.00-$83,700.00 Zone C: $54,050.00-$90,080.00 FLSA Status: Salary/Exempt This role may also be eligible for benefits, bonuses, and commission. Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter. We Offer Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way. Competitive compensation package. Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. Life and disability insurance. A great 401(k) with company match. Tuition assistance, paid parental leave and backup family care. Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. Employee Resource Groups that advocate for inclusion and diversity in all that we do. Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability. How To Stay Safe Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company. Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom. We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ********************. To learn more about protecting yourself from fraudulent activity, please refer to this article link (************************************************** If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: ******************************* with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity. Equal Employment Opportunity At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!
    $54.1k-90.1k yearly Auto-Apply 60d+ ago
  • Provider Relations Consultant NH

    Wellsense Health Plan

    Remote manager, provider relations job

    It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Provider Relations Consultant - NH will act as the primary liaison between Provider Relations Consultants and internal Plan departments such as Claims, Benefits, Audit, Member and Provider Enrollment and Clinical Services to effectively identify and resolve claim issues. This individual will also work closely with the leadership team to identify issues and report trends. Our Investment in You: Full-time remote work Competitive salaries Excellent benefits Key Functions/Responsibilities: Investigate, document, track, and assist with claims resolution Interact with various operational departments to assure accurate and timely payment of claims in accordance with the plan's policies and procedures Identify system changes impacting claims processing and work internally on resolution Identify systematic issues and trends and research for potential configuration related work Analyze trends in claims processing and assist in identifying and quantifying issues Run claim reports regularly to support external provider visits Develop and enhance our physician, clinician, community health center and hospital relationships through effective business interactions and outreach Act as liaison for all reimbursement, issues with providers Facilitates resolution of complex contractual and member/provider issues, collaborating with internal departments as necessary Provides general education and support on WellSense products, policies, procedures and operational issues as needed Manages flow of information to and from internal departments to ensure communication regarding Plans changes and updates May outreach to providers according to Plan initiatives Facilitates problem resolution Initiates Plan interdepartmental collaboration to resolve complex provider issues Identifies system updates needed and completes research related to provider data in Onyx and Facets Processes reports as needed to support provider education, servicing, credentialing and recruitment Ensures quality and compliance with State Agencies and NCQA Other responsibilities as assigned Understands and implements Plan polices & procedures Qualifications: Education: Bachelor's degree in Business Administration, related field or an equivalent combination of education, training and experience is required Experience: 2 or more years of progressively responsible experience in a managed care or healthcare environment is preferred Experience with Medicare and Medicaid Reimbursement Methodologies Understanding of provider coding and billing practices Certification or Conditions of Employment: Must have valid driver's license and access to a car Competencies, Skills, and Attributes: Experience with ICD-10, CPT/HCPCS Codes, and billing claim forms Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational skills Proven expertise utilizing Microsoft Office products Effective communication skills (verbal and written) Strong follow-up skills Proficient in multi-tasking Ability to set and manage priorities Working Conditions and Physical Effort: Travel up to 50% Compensation Range: $57,500- $83,500 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
    $57.5k-83.5k yearly 52d ago
  • CE Practice Manager

    Western Computer 3.9company rating

    Remote manager, provider relations job

    The Role The CE & Power Platform Practice Manager will play a key role in ensuring the successful delivery of projects, maintaining high levels of employee engagement, and contributing to the growth of the CE & Power Platform practice. This role will uphold Western Computer's gold standard of customer satisfaction, drive forward the Customer Engagement functional area, manage team performance, and collaborate with peers and leadership to maintain and improve the overall health of the practice. In 2026, we look forward to expanding this practice to be the connector for a customer's business applications, establishing a strong foundation for the use of AI. Experience in Power, CoPilot, and integrations or a passion for learning these areas will drive success in this role. Key Responsibilities Drive Practice Success * Partner with the Practice Director to identify and drive strategic initiatives that improve delivery efficiency, profitability, and client satisfaction. * As we focus on growth in CE, Power, and Integrations, we will be filling the Director role. There will be an interim period prior to the Director being added to the team. * Collaborate with senior leaders to define and design the future state of the CE and Power teams, ensuring alignment with Microsoft's strategic initiatives * Monitor and react to KPIs to ensure customer satisfaction, employee engagement, and overall practice health. * Contribute to the creation and achievement of annual OKRs for the practice. * Collaborate across practices to ensure consistent delivery methodology and alignment with company goals. Maintain Project Health * Uphold the gold standard of customer satisfaction across assigned projects. * Partner with Solution Architects and Project Managers to ensure timely, high-quality project delivery aligned with client expectations. * Monitor active projects to identify risks, proactively addressing potential delivery or resource challenges. * Assist in resolving project escalations by developing "get-to-green" recovery plans, negotiating financial adjustments when needed, and rebuilding client trust and confidence. Client Management * Develop and maintain strong relationships with clients to ensure consistent communication and satisfaction. * Support the management of escalated client issues and ensure resolution aligns with Western's delivery standards. * Champion the client experience by gathering feedback and driving continuous improvement across delivery teams. Team Management * Lead and coach assigned team members including Project Managers, Consultants, and Solution Architects. * Oversee team performance and engagement through consistent feedback, performance discussions, and career path planning. * Manage employee satisfaction issues promptly and effectively, fostering an environment of trust and accountability. * Evaluate team skillsets to identify training opportunities, capacity needs, and potential expansion areas. Process Improvement * Contribute to the enhancement of delivery processes and methodologies to drive standardization, efficiency, and quality across projects. * Collaborate with peers to identify gaps and implement best practices that strengthen delivery consistency. * Promote knowledge sharing and encourage cross-team collaboration within the practice Support Sales Processes * Provide presales support by assisting with scoping, estimating, and reviewing Statements of Work (SOWs). * Collaborate with Sales and Solution Architects to ensure proposals reflect achievable project plans and align with client needs. * Engage with prospects as a subject matter expert, articulating the CE & Power solutions, project approach, and value proposition with confidence. * Understand when integrations will need custom development tools and determine feasibility. * Understand integration trends and customer needs and work with the team to create scalable solutions to deliver results in an efficient way Qualifications * 8+ years of experience leading or delivering Microsoft Dynamics 365 CE (CRM) and Power Platform implementations. * Proven experience in practice management, people management, project management, or consulting leadership within a professional services environment. * Experience with Celigo, Dual Write, and Power Automate or other integration and automation tools * Strong leadership and interpersonal skills with the ability to mentor, motivate, and develop high-performing teams. * Experience in CE sales is a plus. * Excellent communication, presentation, and negotiation abilities. * Skilled in conflict resolution and driving results through collaboration. * Deep understanding of project management methodologies and change management principles. * Passion for delivering innovative CE & Power solutions that drive measurable business value for clients. The Perks: * Stellar Salary: Get ready to be rewarded handsomely, with a competitive OTE ranging from $150k - $170k USD per year. Your skills and experience are pure gold, and we want to show you the appreciation you deserve. * Super Healthcare Benefits: Say goodbye to worries about medical, dental, and vision costs. We've got your back with access comprehensive healthcare coverage, and yours is covered! * Retirement Treasure: Invest in your future with access to a 401(k)-retirement plan. Your financial security is important, and we're here to help you build it. * Time to Chill: We believe in the power of relaxation. Enjoy generous paid time off for vacations, holidays, and those inevitable sick days. Work hard, but don't forget to play hard! * Remote Work Magic: Embrace the freedom to work remotely from the location of your choice. Who we are: We've been on an exciting mission since 1987 to partner with customers as they transform and grow their businesses. As a Microsoft Solution Partner, we're recognized as a top partner. We owe that success to our team of 150+ Microsoft Dynamics 365 and Power Platform solutions experts who pair business needs with system capabilities to create the recipe for success. We are continuously innovating to maximize our customers' technology investments. From our IP products to our teams who always have a little fun, we are not your average ERP company. We encourage you to apply even if you feel that you do not meet all of the above qualifications. Frequently cited statistics show that women and underrepresented groups are more likely to only apply to jobs if they meet 100% of the listed qualifications. Western Computer encourages you to break that statistic and to apply. No one ever meets 100% of the requirements. We look forward to your application!
    $150k-170k yearly 40d ago
  • Representative, Provider Relations HP - REMOTE

    Molina Talent Acquisition

    Remote manager, provider relations job

    Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service. Job Duties This role serves as the primary point of contact between Molina Health plan and the for non-complex Provider Community that services Molina members, including but not limited to Fee-For-Service and Pay for Performance Providers. It is an external-facing, field-based position requiring a high degree of job knowledge, communication and organizational skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership. • Under minimal direction, works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service. Effectiveness in driving timely issue resolution, EMR connectivity, Provider Portal Adoption. • Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. • Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship. • Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters. • Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. For example, such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. • Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's). • Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include: administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.). • Trains other Provider Relations Representatives as appropriate. • Role requires 60%+ same-day or overnight travel. (Extent of same-day or overnight travel will depend on the specific Health Plan and its service area.) Job Qualifications REQUIRED EDUCATION: Associate's Degree or equivalent provider contract, network development and management, or project management experience in a managed healthcare setting. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 2 - 3 years customer service, provider service, or claims experience in a managed care setting. • Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation and various forms of risk, ASO, etc. PREFERRED EDUCATION: Bachelor's Degree in a related field or an equivalent combination of education and experience PREFERRED EXPERIENCE: • 3+ years experience in managed healthcare administration and/or Provider Services. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $37k-53k yearly est. Auto-Apply 39d ago
  • Manager, Practice Support

    Clover Health

    Remote manager, provider relations job

    The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our Managed Care Organization. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The Manager, Practice Support leads and develops a team responsible for the operational backbone of Clover's In Home Care delivery. This leader oversees new patient enrollment, appointment scheduling, and administrative coordination functions to ensure seamless access, outstanding member experiences, and efficient clinical team support. The Manager, Practice Support is a compassionate, process-oriented leader who thrives in fast-paced, mission-driven environments and is motivated by improving healthcare operations for seniors and vulnerable populations. As a Manager, Practice Support, you will: Own the day-to-day operations of patient enrollment, scheduling, and administrative coordination to ensure efficiency and high-quality member and provider experiences. Support cross-functional collaboration between clinical, operational, and technology teams to improve workflows and streamline communication. Lead a team of enrollment specialists, schedulers, and administrative coordinators, including hiring, training, performance management, and career development. Implement operational best practices and process improvements that enhance access to care, drive performance metrics, and improve member satisfaction. Monitor key performance indicators (KPIs) for scheduling accuracy, response times, enrollment conversion, and patient satisfaction, using data insights to guide improvements. Collaborate closely with clinical leadership, care coordination, and technology teams to ensure alignment between practice operations and patient care delivery. Foster a culture of accountability, empathy, and continuous improvement across all practice support functions. You should get in touch if: You have 5+ years of experience in healthcare operations, preferably in primary care, home-based care, or value-based care settings. You bring 2+ years of leadership experience managing multi-functional administrative or operational teams. You possess strong analytical and process improvement skills, with experience using data to drive operational decisions. You are an empathetic leader who can motivate teams through change, ambiguity, and growth. You thrive in a rapidly evolving organization and healthcare landscape. You possess superior operational excellence: Ability to design, measure, and improve workflows to achieve operational goals efficiently. You have proven success in managing and developing distributed teams with empathy and accountability. You have a patient/member-centered mindset and a commitment to enhancing access, experience, and outcomes for patients and their families. About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $117,000 to $143,000 Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
    $117k-143k yearly Auto-Apply 12d ago
  • Advanced Practice Clinician Manager

    Hey Jane

    Remote manager, provider relations job

    Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health-and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment-and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We're committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role Overview We are seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services. You will oversee day-to-day clinical operations, drive performance management for your team, and serve as a critical bridge between the clinical team and organizational leadership-translating strategy into action through strong communication, sound judgment, and operational excellence. Working in a startup telehealth environment requires flexibility and adaptability, while offering the unique opportunity to shape and refine clinical workflows. The ideal candidate is both a skilled Nurse Practitioner and an empathetic leader-comfortable mentoring others, managing tough conversations, and steering the team through change with grace and accountability. You'll excel at building trust within your remote team, fostering a culture of continuous improvement, and ensuring that every patient receives timely, evidence-based care delivered with empathy and respect.Qualifications 5+ years of clinical experience as a NP or CNM with 1+ years in reproductive or sexual health 2+ years of experience managing clinical teams, preferably in telehealth, reproductive healthcare, or a startup environment Proven ability to motivate, mentor, and support clinical staff with a focus on team morale, development, and accountability Proven ability to foster collaboration, trust, and a supportive team culture Experience documenting protocols, implementing process updates, and training teams through changes in clinical or operational systems Strong interpersonal and communication skills, with the ability to collaborate effectively across clinical, operational, and leadership teams Knowledge of healthcare compliance, regulatory requirements, and quality assurance frameworks Ability to analyze clinical and performance data and translate insights into actionable improvements Deep understanding of trauma-informed care principles Comfortable working in a fast-paced, mission-driven startup environment Able to travel to on-site location at least once a quarter At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare-and bring that same vision to our workplace. We're an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.
    $82k-138k yearly est. Auto-Apply 51d ago
  • Provider Relations Representative

    Valenz

    Remote manager, provider relations job

    Vālenz Health is the platform to simplify healthcare - the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About Our Opportunity As a Provider Relations Representative, you will educate providers and members about specific plan designs while also addressing their inquiries related to reimbursement, appeals, and network access. To be successful in this role, you will have a passion for customer care-or customer love as we say! Things You'll Do Here: Facilitate inquiries from providers regarding reimbursement rates. Negotiate ongoing and single case agreements (SCAs) Direct members to in-network or RBP accepting providers. Focus on the member journey and minimizing disruption to providers. Develop trust with members and providers to ensure long-term relationships. Anticipate and identify issues and escalate to the appropriate manager or team leader. Ensure that the best possible solutions are offered by adhering to established rules regarding client rate structures, turn-around-times, and success rates. Facilitate the appeals process. Maintain compliance with company policies and procedures. Performs related duties as assigned by supervisor. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You'll Bring to the Team: 1+ years of experience in customer service. Experience working independently and completing assignments within given instructions, routines, and accepted practices. Excellent verbal and written communication skills. Ability to work in a fast-paced, customer focused, and deadline-driven environment. A plus if you have: Experience working in healthcare environment with providers. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! Work Environment: You'll need a quiet workspace that is free from distractions. Technology: Reliable internet connection-if you can use streaming services, you're good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare . With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
    $34k-49k yearly est. Auto-Apply 18d ago
  • Provider Relations Specialist

    Synapticure Inc.

    Remote manager, provider relations job

    About SynapticureAs a patient- and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. The RoleSynapticure is seeking a Provider Relations Manager to serve as a trusted relationship-builder and key account manager for our provider partners. This remote-first position focuses on nurturing long-term relationships with primary care and neurology practices, driving program adoption, and ensuring ongoing engagement and satisfaction. While the majority of your work will be conducted remotely, you'll travel approximately 30% of the time to meet with provider groups, attend key events, and support local engagement efforts. Some door-to-door practice outreach (10-20%) may be required to introduce Synapticure programs to new clinics and strengthen relationships in the field.This role is ideal for a relationship-driven professional with experience in healthcare account management, provider engagement, or field sales who thrives on connecting virtually and in-person to expand access to quality neurodegenerative care. Job Duties - What You'll Be Doing Build and manage strong relationships with provider partners, practice managers, and clinical leadership across assigned territories Serve as Synapticure's relationship owner, ensuring ongoing satisfaction and sustained adoption of programs Conduct virtual and in-person meetings to communicate Synapticure's mission, capabilities, and impact Identify provider needs and use a consultative approach to deliver tailored solutions that improve workflow and patient experience Track and report provider engagement activities, progress toward goals, and insights gathered from the field Coordinate with internal teams (Clinical Operations, Implementation, and Product) to resolve issues and improve program delivery Support new program rollouts through remote and in-person training sessions, onboarding, and troubleshooting Execute strategic outreach campaigns, including limited door-to-door provider engagement when introducing new markets or services Collaborate with leadership to develop growth plans and identify new opportunities for partnership Represent Synapticure at regional meetings and healthcare networking events as needed In person outreach to members Requirements - What We Look For In You 5+ years of experience in healthcare account management, provider relations, or field engagement Demonstrated success managing provider or client relationships remotely with periodic travel Excellent written and verbal communication skills; confident engaging both clinical and administrative audiences Highly organized, proactive, and adaptable to changing priorities Comfortable using CRM tools and virtual collaboration platforms (Zoom, Salesforce, etc.) Understanding of healthcare delivery models and practice operations preferred Familiarity with neurodegenerative care, behavioral health, or telehealth models is a plus Willingness to travel ~30% and perform in-person outreach (10-20%) We're founded by a patient and caregiver, and we're a remote-first company where empathy and excellence guide every interaction: Relentless focus on patients and caregivers. We are determined to deliver exceptional care and support to every individual we serve. Empathy and humanity. We meet every challenge with compassion, understanding, and hope. Curiosity and adaptability. We listen first, learn continuously, and evolve based on the needs of patients and partners. Optimism and action. We move with urgency and positivity to make meaningful change. Travel ExpectationsThis is a remote position with approximately 30% travel to provider sites, conferences, and community events. Most travel is regional and planned in advance, though limited door-to-door outreach may be required for new practice introductions.
    $39k-63k yearly est. Auto-Apply 60d+ ago
  • Manager _ Corporate Tax _ Escalon Tax Practice

    Escalon Services 4.1company rating

    Remote manager, provider relations job

    Department Escalon Tax Practice Employment Type Full Time Location Remote Workplace type Fully remote What You'll Bring Why You'll Enjoy Working at Escalon: More about us: About Escalon Services, LLC.
    $53k-112k yearly est. 60d+ ago
  • Practice Manager - Polaris

    Banfield Pet Hospital 3.8company rating

    Manager, provider relations job in Columbus, OH

    Veterinary Practice Manager at Banfield Pet Hospital Practice Managers play a pivotal role in our hospitals. Your medical practice management skills will be put to use to drive business results, and your people leadership skills will come into play as you develop associates and foster an engaging team environment. Along with a team of knowledgeable pet health care experts, you'll ensure that clients and patients have a positive experience when they visit the hospital. Through a professional relationship with other stakeholders, including the veterinary medical team, field leadership, our corporate headquarters and PetSmart associates (if applicable), you'll be helping optimize the growth of both businesses. And since we are committed to your growth, you'll be able to take advantage of a variety of educational opportunities and resources that support your career path. Job Description Summary: In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the highest quality veterinary care. Employment Type: Full-Time Required Education/Licenses: Bachelor's degree in business or related discipline preferred, or the equivalent combination of education, training and experience that provides the required knowledge, skills and abilities. Required Experience: Three years related experience required (health care, veterinary profession, service industry, etc.), including direct supervisory experience (includes hiring, associate development, etc.). A Day in the Life of a Banfield Practice Manager The position of Practice Manager requires a fair amount of versatility. Duties involve everything from interviewing, hiring and developing associates, to evaluating the hospital's processes, progress and productivity. Our Practice Managers also train associates on how to educate clients about our Optimum Wellness Plans , preventive care, pet health needs and hospital services. You will also be responsible for: + Educating associates on Banfield guidelines/practices + Budgeting and planning for the hospital + Dealing with daily operations + Scheduling associates, coordinating time off and managing continuing education needs Commitment Beyond Qualifications The foundation of our culture and approach to business is known as The Five Principles. They include Quality, Responsibility, Mutuality, Efficiency and Freedom. These are special values we all share at Banfield and hope to integrate into our daily decisions and processes at work. Additionally, our Practice Managers have: + Strong organizational, communication and interpersonal skills + A knack for problem solving + Conflict management experience + Leadership and analytical know-how Caring for Those Who Care: Benefits for a Banfield Practice Manager We have the resources and programs to help you stay fit, ensure the wellness of your family and pets, and offer a workplace where your professional development is important too. Personal Health, Savings, and Wellness Benefits We offer a competitive benefits package with components such as 401(k) participation, paid time off and Optimum Wellness Plans for your pets. In addition, medical, vision, dental, life and disability insurance is offered to associates (based on eligibility). Potential as Big as Your Passion We help our Practice Managers take charge of their professional development with the continuing education you'll want to excel in your career. We also offer a collection of programs geared toward improving competencies by providing: + Connections to learning experiences + Networking opportunities + Ways to give back to your community through volunteerism A Support Structure That Helps You Thrive As a practice manager you, along with the Chief of Staff, will serve as the leaders within the hospital, but you'll have the support of field leaders, medical leaders and our corporate headquarters behind you to help you excel. Our collaborative team environment helps us inspire the delivery of pet health care in hospitals, communities and the veterinary medicine field in general. Start your Banfield Career as a Practice Manager Learn more about the impact you can make as part of a Banfield hospital team and see how we support the wellness of our people and profession. BENEFITS & COMPENSATION + Salary range for this role is $63,822.10 - $85,187.47. Specific pay rates are dependent on experience, skill level, and education of the candidate, as well as geographic location. Pay rates for salaried positions may differ based on schedule worked. + Banfield offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness, and financial needs of our associates. Our benefits package includes: + Medical, Dental, Vision + Basic Life (company paid) & Supplemental Life + Short- and Long-Term Disability (company paid) + Flexible Spending Accounts + Commuter Benefits* + Legal Plan* + Health Savings Account with company funding + 401(k) with generous company match* + Paid Time Off & Holidays* + Paid Parental Leave + Student Debt Program (for FT DVMs) + Continuing Education allowance for eligible positions* + Free Optimum Wellness Plans for your pets' preventive and general care* *Benefits eligibility is based on employment status. FT associates are eligible for all benefits programs (Student Debt Program available for FT DVMs only); PT associates are eligible for those benefits highlighted with an asterisk*. WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.Banfield Pet Hospital strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Banfield Pet Hospital is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, status as a protected veteran, or status as a qualified individual with disability. Banfield Pet Hospital complies with all applicable federal, state and local laws governing nondiscrimination in employment in every Banfield location. #FT
    $63.8k-85.2k yearly 60d+ ago
  • Practice Manager

    Specialty1 Partners

    Remote manager, provider relations job

    Our Office, NRV Oral & Maxillofacial Surgery LTD - Blacksburg, a busy specialty practice in Blacksburg, VA, is looking for a talented and skilled Practice Manager to help us fulfill our mission of improving the lives of our patients by providing a world-class specialty experience at the Blacksburg and Radford locations. If you're passionate about delivering exceptional patient care and leading a dynamic team, we'd love to connect with you! At NRV Oral & Maxillofacial Surgery LTD - Blacksburg & Radford, we believe in the power of collaboration and continuous learning. Our diverse team includes Dental Assistants, Sterilization Technicians, Specialists, Office Managers, and Patient Care Coordinators who work together to ensure exceptional patient experience and outstanding clinical results. We're committed to fostering an environment where all employees are valued, respected, and given the opportunity to thrive-at work, at home, and everywhere in between. Your Role: Practice Manager As our Practice Manager, you will play a crucial role in ensuring our operations run smoothly, efficiently, and in compliance with all regulations. You'll be responsible for mentoring team members, enhancing patient experiences, and implementing best practices across all levels of our organization. Here's what you can expect in this role: Travel to the Radford location Overseeing daily operations to ensure they are carried out in a cost-effective manner. Managing budgets, financial data, and forecasts to improve profitability. Purchasing materials, planning inventory, and optimizing warehouse efficiency. Ensuring the practice remains compliant with all legal and healthcare regulations. Implementing quality controls and monitoring key performance indicators (KPIs). Training and supervising staff, while fostering a culture of continuous improvement. Enhancing the quality of patient care through innovative and compassionate leadership. Coordinating and facilitating additional office responsibilities as needed. Your Background: We're looking for a resourceful and compassionate Practice Manager who excels at leading teams and achieving financial goals. You thrive on seeing patients leave our office healthier and happier, and you're a problem-solver who can adapt to changing priorities. Here's what we're looking for: 3-5 years of experience managing a dental or OS practice. WinOMS experience a plus Expertise in insurance verification, claims, and resolution processes. Strong understanding of patient and insurance accounts receivable (AR) management. Proven ability to maintain positive employee relations and oversee payroll. Solid knowledge of profit and loss (P&L) management, with a focus on controlling expenses. Familiarity with standard OSHA and HIPAA practices and policies. If this describes you, you'll fit right in with our team! Your Benefits & Perks: We offer a comprehensive benefits package designed to support you in all aspects of your life, including: Sign on bonus offered! BCBS High Deductible & PPO Medical insurance Options VSP Vision Coverage Principal PPO Dental Insurance Complimentary Life Insurance Policy Short-term & Long-Term Disability Pet Insurance Coverage 401(k) HSA / FSA Account Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse and Inclusive Work Environment Strong culture of honesty and teamwork #priority We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission. Position Base Pay Range$45,000-$55,000 USDSpecialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties. Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at ************************************************** Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more. Specialty1 Partners and its affiliates uses mobile messages in relation to your job application. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP for help. View our Privacy & SMS Policy here. By submitting your application you agree to receive text messages from Specialty1 and its affiliates as outlined above.
    $45k-55k yearly Auto-Apply 18d ago

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