US-NY: New York City-Relationship Manager
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US-NY: New York City-Relationship Manager         

Group: aol.neighborhood.nj.jerseycity · Group Profile
Author: JobCircle.Com
Date: Sep 6, 2008 14:38

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JobCircle.com is a regional job board serving all industries
and occupations in the PA, NJ, DE, NY, MD, and DC areas.

We offer a regional job board, online learning, and regional
job fair events for jobseekers who live in our areas of focus.

To Learn More:

Job Board: http://www.JobCircle.com?source=ng
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Job Title: Relationship Manager
Job Location: NY: New York City
Pay Rate: Open
Job Length: full time
Start Date: 2008-09-06

Company Name: GHI
Contact: Recruiter
Phone: email only please
Fax: email only please

Description: Relationship Manager COMPANY: HIP LOCATION: 55 Water St.

HOURS:

DEPT:

Description of Duties * Manage day-to-day activities involving HIPs Delegated and Risk Arrangements along with the Medical Group Agreements * Investigate and respond to inquiries from Claims, Customer Service, Grievance and Appeals, and all other departments * Distribute and ensure consistent application of regulatory and corporate policies and procedures to the delegates * Review and resolve inter-departmental issues related to Medical Guidelines & New Technology, including monthly AOC Meetings * Investigate and approve all requests for provider recruitment, network enhancement * Manage and implement various projects as assigned * Oversight of delegates compliance with Due Diligence and Delegation process, including the Annual UM, Claims and Customer Service on-sight Audit

Requirements Knowledge Skills & Abilities: * Effective written and verbal communication skills * Ability to recognize and determine business course of action with decisiveness * Ability to recognize the impact of decisions * Strong organization and time management skills * Demonstrated ability to build successful working relationships (internally and externally) * Proficiency in MS Word, Excel * Knowledge of Q-Care and CPF systems * Bachelors degree in Health Care or Business field required with Masters degree a plus * Five years of Health Care contracting experience.

Please refer to Job code ghi-1764 when responding to this ad.

For FASTEST PROCESSING of your resume, please visit http://www.jobcircle.com/classifieds/1578212.html?source=ng to apply online.

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For fastest processing of your resume, this employer asks that
you apply to this job using the URL above.
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