Strategic Medicare Provider Network Manager

CommuniCare Advantage; Annandale (VA); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

PTO

Life and disability coverage

Medical, dental and vision coverage

401(k) with employer match

Flexible Spending Accounts

Job summary

CommuniCare Advantage in Virginia seeks a Network and Provider Relations Manager to execute a strategic plan to recruit, service and support network providers across the region. The role focuses on contract negotiations, relationship development and ensuring provider satisfaction through on-site visits and timely issue resolution.

The ideal candidate has a bachelor’s degree with 5+ years in network management or provider relations, knowledge of Medicare programs, proficiency with MS Office, a

Qualifications

• Bachelor's degree and 5+ years in network management/provider relations.
• Working knowledge of Medicare programs.
• Proficiency with MS Office Suite.
• Valid driver's license and willingness to travel 50% of the time.

Responsibilities

• Develop the provider network through contract negotiations, relationship development and servicing all provider types.
• Maintain positive provider relationships with provider community via on-site visits and timely issue resolution.
• Serve as knowledge/resource expert regarding provider issues and educate on contracts and non-routine claims.

Skills

Communication skills

Deadline-oriented

Cultural competency

Education

Bachelor's degree

Tools

MS Office Suite

Driver's license

Job description

CommuniCare Advantage in Virginia seeks a Network and Provider Relations Manager to execute a strategic plan to recruit, service and support network providers across the region. The role focuses on contract negotiations, relationship development and ensuring provider satisfaction through on-site visits and timely issue resolution.

The ideal candidate has a bachelor’s degree with 5+ years in network management or provider relations, knowledge of Medicare programs, proficiency with MS Office, a