Available Positions

Assistant Director of Medical Management at Nonprofit Agency in New York City, New York, United States —

  • Healthcare
  • Nonprofit Agency
  • New York City, New York, United States
  • 9/17/19

Job ID: 31576

Job Description

Oversee the daily operations the Provider Relations department

Manage the Provider Data Management & Integrity Division

Ensure accurate and up-to-date provider listing and directory

Take charge of all issues associated with members balance billed by providers

Supervise and negotiate rates for out of network hospital and medical services

Guarantee that members have access to quality network of providers

Work with other Provider Relations Department to refine shared workflows

Manage staff in accordance with established  department measures

Qualifications

Bachelor’s Degree in Business or health related field or equivalent

6+ years relevant experience in managed care, contracting and provider relations

Knowledge of physician, vendor and group contracting  and  negotiation

Familiarity with payment methodologies, including Usual and Customary Rates

Proficiency in MS Word and Excel

Excellent written and oral communication skills; excellent organizational skills,

Proven multi-tasking skills and ability to meet critical deadlines

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