Provider Network Manager
2 days ago
Solis Health Plans is seeking a skilled Provider Network Manager to join our team. As a key member of our organization, you will be responsible for developing and retaining business relationships with clients in the specified geographic region.
Key Responsibilities:
- Generate and develop new business to meet specified production goals.
- Maintain and nurture existing client relationships.
- Respond to all inquiries and requests in a timely and professional manner.
- Function as liaison between client companies and operations staff.
- Understand and communicate information regarding company products, services, and policies and procedures to new and existing clients.
- Possess and maintain thorough knowledge of Medicare Advantage Plan product information.
- Continually gather information on local competition and prevalent industry and business climate within the region; communicate information to management and others as needed.
- Work with more complex providers, including large institutional providers and large medical groups.
- Conduct more complex negotiations and drafts documents.
- Ensure that all required client paperwork is complete, accurate, and submitted on time.
- Provide timely and accurate reports as required.
Requirements:
- Bachelor's degree (B.A.) or equivalent, 6 years of experience, or equivalent combination of education and experience.
- 5 years of experience in value-based contract agreements.
- Bilingual in Spanish and English (required).
- 5 years of Medicare Advantage Plan experience.
- Provider Network experience.
- Must be a self-starter and proactive.
- Commitment to excellence and high standards.
- Excellent written and verbal communication skills.
- Good judgment with the ability to make timely and sound decisions.
- Creative, flexible, and innovative team player.
- Demonstrated ability to make successful presentations to individuals and/or groups at all levels of an organization.
- Strong organizational skills; able to manage priorities and workflow.
- Ability to work independently and as a member of various teams and committees.
- Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.
- Excellent problem resolution and consultative sales skills.
- Proven ability to handle multiple projects and meet deadlines.
- Strong interpersonal skills.
- Ability to prepare reports and business correspondence.
- Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
About Solis Health Plans:
Solis Health Plans is a locally rooted organization deeply committed to understanding and serving our communities. We are dedicated to providing solutions that are more transparent, connected, and effective for both our members and providers.
Join Our Team:
As a Provider Network Manager at Solis Health Plans, you will be part of a dynamic team that is passionate about making a positive impact in the lives of our members. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans.
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