- Texas, United States
- Full-time
- 2+ years
Manages the physician network by developing and maintaining the assigned IPA/Medical Group, providing service and education to network physicians/providers, and achieving company targets through network improvement plans.
Responsibilities
- Completes new provider orientation for all applicable product lines.
- Conducts provider group meetings to review monthly/quarterly data and outcomes.
- Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.
- Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.
- Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.
Requirements
- Bachelor's Degree in Marketing or Business Administration