Physician Business Manager
3 weeks ago
Primary Responsibilities:
- Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
- Expertise in physician/facility/ancillary contract reimbursement methodologies
- Lead cross functional teams and drive the team to successfully complete the objectives
- Engage with local provider organizations to support, augment and accelerate efforts to improve operational coordination of patient care
- Research and proactively seek to fill in knowledge gaps in key functional areas
- Provide/ensure training to applicable audiences, as needed
- Ensure project documentation is accurate and all projects are completed on time and within scope
- Analyze project outcomes and make appropriate recommendations to improve outcomes/processes moving forward
- Collect/synthesize best practices from across a network of provider organizations
- Meet and / or exceed client service level provider relations expectations
- Manage provider relationships that require frequent contact; includes large, regional and complex clients
- Create and present PowerPoint provider education decks
- Document activities and report on progress, utilizing tools and job aids as requested by manager, on a consistent, timely and accurate basis
- Plan, conduct, and / or participate in special projects as directed by management or when supporting individual performance goals
Required Qualifications:
- 4+ years of health care / managed care experience
- 2+ years in healthcare provider relations, provider network management, medical office administration, revenue cycle management, or Medicare Advantage sales
- Proficiency with MS Word, Excel, PowerPoint
- Demonstrable High Level Communication skills
- Proficiency in claims processing and issue resolution
- Ability to travel locally within the Austin market about 50%h
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