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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.
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http://www.jobcircle.com/classifieds/1578212.html?source=ng to apply online.
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