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Provider Network Management Relations Executive at Presbyterian Healthcare Services - ApplyBlast

Provider Network Management Relations Executive

Presbyterian Healthcare Services

4 months ago

3.6 on Glassdoor

Onsite

Full Time

Senior

0 applicants

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About this role

Presbyterian Healthcare seeks a Provider Network Management Relations Executive to oversee network strategies, develop provider relationships, and ensure alignment with clinical quality initiatives. The role involves resolving disputes, acting as a liaison between providers and the health plan, and fostering professional development within the team.

Responsibilities

Oversee network strategies and relationship development activities for assigned providers
Develop cooperative working relationships between the health plan and institutional providers
Provide education on quality initiatives, reimbursement issues, and policy procedures
Resolve complex provider issues related to claims, health services, and finance
Conduct frequent provider visits to achieve established departmental goals

Skills

About Presbyterian Healthcare Services

phs.org

Headquarters

Albuquerque, New Mexico, United States

Company Size

10001+ employees

Founded

1908

View Profile

Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.