Georgia Provider Network Manager

A company is looking for a Manager, Provider Network Relations who must reside in Georgia.

Key Responsibilities

Manage provider network functions and daily operations, collaborating with other departments

Develop health plan-specific provider contracting strategies and oversee external provider representatives

Implement tracking tools for issue resolution and ensure compliance with standards

Required Qualifications

Bachelor's Degree in Health or Business-related field or equivalent experience

5 years' experience with Medicaid and / or Medicare products involving physicians and hospitals

5+ years of managed healthcare experience

2 years of supervisory experience

Experience with community agencies and preparing formal presentations