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1 week ago

Job Summary

The Provider Manager will manage the contracting, developing, and maintaining of relationships with healthcare providers. The position requires daily liaison with a Provider Network and collaboration with internal departments to ensure service quality.

  • Minimum Qualification: Degree
  • Experience Level: Mid level
  • Experience Length: 4 years

Job Description/Requirements

Responsibilities:

  • Hospital Visitation
  • Conducting medical outreach programs when requested
  • Reaccreditation/quality assurance check on hospital providers
  • Reconciliation of hospital claims
  • Provider Sensitization
  • Execution of Medical Case Management/Disease Management activities.

 

Technical Competencies:  

  • Accountability
  • Communication
  • HMO Industry Knowledg
  • Solution-oriented
  • Clinical Reasoning
  • Health System Strengthening
  • Relationship-Oriented
  • Organization & Planning
  • Team Management.

 

 Requirements:

  • Graduate in a Health-Related Field (Nurse preferably)
  • Minimum of 4 years’ managerial experience. 

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