Current jobs related to Provider Relations Liaison - Albuquerque, New Mexico - Magellan Health

  • Claims System Liaison

    3 weeks ago

    Albuquerque, New Mexico, United States Presbyterian Healthcare Services Full time

    About the RoleWe are seeking a highly skilled Claims System Liaison to join our team at Presbyterian Healthcare Services. As a Claims System Liaison, you will play a critical role in providing technical claims analysis, resolving complex claims problems, and serving as a liaison between claims areas and other functional areas within our organization.Key...

  • Claims System Liaison

    3 weeks ago

    Albuquerque, New Mexico, United States Presbyterian Healthcare Services Full time

    About the RoleWe are seeking a highly skilled Claims System Liaison to join our team at Presbyterian Healthcare Services. As a Claims System Liaison, you will play a critical role in providing technical claims analysis, resolving complex claims problems, and serving as a liaison between claims areas and other functional areas within our organization.Key...

  • Native American Health Services Liaison

    1 week ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally sensitive individual to serve as a liaison between our hospital operations and the Native American community. As a key member of our team, you will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Native American Health Services Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally sensitive individual to serve as a liaison between our hospital operations and the Native American community. As a key member of our team, you will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Native American Health Services Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States University of New Mexico Full time

    Job SummaryWe are seeking a highly skilled and culturally sensitive Native American Health Services Liaison to join our team at the University of New Mexico. As a key member of our healthcare team, you will serve as a liaison between hospital operations and the Native American Community, facilitating care according to agreements between UNM Hospitals and the...

  • Native American Health Services Liaison

    6 days ago

    Albuquerque, New Mexico, United States University of New Mexico Full time

    Job SummaryWe are seeking a highly skilled and culturally competent Native American Health Services Specialist to join our team at the University of New Mexico. This role will serve as a liaison between hospital operations and the Native American Community, facilitating care according to agreements between UNM Hospitals and the Indian Health Service (IHS)...

  • Native American Health Services Liaison

    1 week ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally sensitive individual to serve as a liaison between our hospital operations and the Native American community. As a key member of our team, you will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Community Outreach Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States Lilycare of New Mexico Full time

    About the RoleLilycare of New Mexico is seeking a highly motivated and experienced Community Outreach Liaison to join our team. As a key member of our marketing and business development team, you will play a critical role in building and maintaining relationships with referral sources, healthcare professionals, and community organizations.Key...

  • Native American Health Services Liaison

    6 days ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally competent individual to serve as a liaison between hospital operations and the Native American Community. The successful candidate will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Native American Health Services Liaison

    2 days ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally competent professional to serve as a liaison between our hospital operations and the Native American community. This role will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Native American Health Services Liaison

    2 days ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally competent individual to serve as a liaison between our hospital operations and the Native American community. As a Native American Health Services Specialist, you will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council...

  • Native American Health Services Liaison

    3 weeks ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    Job SummaryWe are seeking a highly skilled and culturally sensitive individual to serve as a liaison between our hospital operations and the Native American Community. As a key member of our team, you will facilitate care according to agreements between UNM Hospitals and the Indian Health Service (IHS) and the All Indian Pueblo Council (AIPC) and others.Key...

  • Tribal Relations and Permitting Specialist

    3 days ago

    Albuquerque, New Mexico, United States Commnet Broadband Full time

    Job Title: Tribal Relations and Permitting ManagerJob Summary:Commnet Broadband is seeking a highly skilled Tribal Relations and Permitting Manager to join our team. As a key liaison and strategic advisor, you will be responsible for monitoring regulatory changes, advocating for the company's interests, and nurturing relationships with key government...

  • Customer Experience Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States Encore Full time

    {"Job Title": "Customer Experience Liaison", "Job Summary": "We are seeking a highly skilled Customer Experience Liaison to join our team at Encore. In this role, you will serve as the primary point of contact for customers, providing exceptional service and support to ensure a seamless experience.Responsibilities:* Provide timely and effective communication...

  • Customer Service Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States City of Albuquerque New Mexico Full time

    **Key Responsibilities:**Provide exceptional customer service to transportation customers, ensuring their needs are met and exceeded.Schedule reservations for the senior population, taking into account their unique requirements and preferences.Prepare daily manifest schedules, ensuring timely and efficient transportation services.Receive and act upon...

  • Customer Service Liaison

    3 weeks ago

    Albuquerque, New Mexico, United States Ardent Health Full time

    Job Summary: We are seeking a highly skilled and customer-focused Customer Service Liaison to join our team at Ardent Health. As a key member of our front desk team, you will be responsible for providing exceptional customer service and support to patients, families, and healthcare professionals.Key Responsibilities:Provide direct customer service and front...

  • Customer Service Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States Ardent Health Full time

    Job Summary: We are seeking a highly skilled and customer-focused Customer Service Liaison to join our team at Ardent Health. As a key member of our front desk team, you will be responsible for providing exceptional customer service and support to our patients and visitors.Key Responsibilities:Provide direct customer service and front desk assistance to...

  • Patient Relations Coordinator

    4 weeks ago

    Albuquerque, New Mexico, United States UNM Hospitals Full time

    Department: Patient AdvocacyFTE:1.00Full TimeShift: DaysPosition Overview:The Patient Advocate Coordinator is dedicated to fostering an environment of exceptional hospitality, customer service, and compassionate care, enhancing the overall patient experience. This role acts as a crucial intermediary between patients, their families, and their...

  • Hospital Liaison Specialist

    4 hours ago

    Albuquerque, New Mexico, United States Ambercare Full time

    Ambercare: A Leader in Hospice CareWe are seeking a skilled Hospital Clinical Liaison to join our team in Albuquerque. As a key member of our hospice team, you will play a vital role in ensuring seamless care transitions for our patients.Key Responsibilities:Represent Ambercare services at networking events and functions, fostering relationships with...

  • Family Support Liaison

    2 weeks ago

    Albuquerque, New Mexico, United States Albuquerque Public Schools Full time

    Job SummaryWe are seeking a highly skilled and dedicated Family Support Liaison to join our team at Albuquerque Public Schools. The successful candidate will be responsible for building strong relationships with families, students, and school staff to promote a welcoming and inclusive school environment.Key ResponsibilitiesDevelop and implement outreach...

Provider Relations Liaison

4 months ago

Albuquerque, New Mexico, United States Magellan Health Full time
This position is responsible for the support of all activities related to developing and maintaining the physician, practitioner, group, and/or facility, MPPS and organization services delivery system in small to mid-size market defined by membership, number of providers in delivery system, number of business operating units and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities.
  • Assesses network needs, analyzes network composition, and using organization databases, application of regulatory requirements, accreditation entities and other resources, recruits individual, group and/or organizational providers to meet network adequacy standards and assure quality network.
  • Conducts and coordinates contracting and amendment initiatives.
  • Provides issue resolution and complex trouble shooting for providers.
  • Conducts provider education and provider relation activities, providing necessary written materials.
  • Conducts administrative provider site visits and coordinates report development and completion according to contractual requirements or ad hoc requests.
  • Coordinates Public Policy Research Center (PPRC) activities to assure maintenance of current credentialing status, and evaluation and appropriate actions of quality of care issues and complaints against providers.
  • Conducts and manages ongoing audits of provider compliance with Magellan policies and procedures as well as contractual obligations for multiple customers. Develops work plans to address audit requirements.
  • Works with management to draft, clarify and recommend changes to policies which impact network management.

Other Job Requirements

Responsibilities

Knowledge of National Committee for Quality Assurance (NCQA) requirements.
Ability to work independently and prioritize activities.
Intermediate knowledge of Microsoft Office Suite, specifically Excel.
Strong presentations skills using PowerPoint.
Minimum of 1 year experience in related position/field.

General Job Information

Title

Provider Relations Liaison

Grade

21

Work Experience - Required

Network

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelor's

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$45,655

Salary Maximum:

$68,485

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.