Presbyterian Healthcare Services

Provider Network Management Relations Executive

Presbyterian Healthcare Services

Albuquerque, NM, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a highly motivated and results-driven individual with a passion for building and maintaining relationships? Do you have experience in provider network management and a strong understanding of healthcare systems? If so, Presbyterian Healthcare Services is looking for you to join our team as a Provider Network Management Relations Executive.In this role, you will be responsible for developing and maintaining positive relationships with our network of healthcare providers. Your expertise in provider contracting and negotiations will play a crucial role in ensuring the success of our organization and the satisfaction of our members.To excel in this position, you must have a strong sense of accountability, excellent communication skills, and the ability to navigate complex situations with ease. A Bachelor's degree in Healthcare Administration, Business, or a related field is required, along with a minimum of five years of experience in provider network management.If you are ready to take your career to the next level and make a positive impact on the delivery of healthcare services, we encourage you to apply for this exciting opportunity at Presbyterian Healthcare Services.

  1. Develop and maintain positive relationships with healthcare providers in the network.
  2. Negotiate and manage provider contracts to ensure the best possible terms for the organization.
  3. Monitor provider performance and identify areas for improvement.
  4. Collaborate with internal departments to ensure the network meets the needs of our members.
  5. Stay up-to-date on industry trends and changes in healthcare systems to inform decision-making.
  6. Provide guidance and support to providers regarding billing, claims, and other administrative processes.
  7. Serve as a liaison between providers and the organization to resolve any issues or concerns.
  8. Communicate with providers on a regular basis to build and maintain strong working relationships.
  9. Analyze data and reports to identify opportunities for cost savings and improved efficiency.
  10. Ensure compliance with all regulatory requirements related to provider network management.
  11. Develop and implement strategies to expand and diversify the provider network.
  12. Represent the organization at industry events and conferences to promote our network and services.
  13. Train and mentor junior staff members in provider network management practices.
  14. Collaborate with other departments to develop and implement initiatives to improve the overall performance of the provider network.
  15. Maintain accurate and up-to-date records of all provider contracts and communications.
  16. Continuously seek ways to improve processes and procedures within the provider network management department.
  17. Adhere to the organization's mission, vision, and values in all interactions with providers and colleagues.
  18. Travel to meet with providers and attend conferences and meetings as needed.
  19. Complete all required training and education to maintain knowledge and skills in provider network management.
  20. Other duties as assigned by supervisor.
Where is this job?
This job is located at Albuquerque, NM, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Business Management, Or A Related Field.

  • Minimum Of 5 Years Experience In Provider Network Management, Preferably In A Healthcare Organization.

  • Strong Understanding Of Provider Reimbursement Methodologies And Contract Negotiations.

  • Excellent Communication And Interpersonal Skills To Effectively Build And Maintain Relationships With Providers.

  • Knowledge Of Healthcare Regulations And Compliance Requirements, Including Hipaa And Cms Guidelines.

Required Skills
  • Contract Management

  • Contract Negotiation

  • Network analysis

  • payment

  • Relationship-Building

  • Claims Resolution

  • Network Expansion

  • Provider Credentialing

  • Provider Engagement

  • Provider Education

  • Provider Recruitment

  • Provider Satisfaction

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Decision-making

Compensation

According to JobzMall, the average salary range for a Provider Network Management Relations Executive in Albuquerque, NM, USA is between $70,000 and $90,000 per year. This can vary depending on the specific job duties, level of experience, and the type of organization the individual is working for. Additional factors such as bonuses, benefits, and location can also impact the salary range.

Additional Information
Presbyterian Healthcare Services is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 26th, 2024
Apply BeforeJuly 8th, 2026
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About Presbyterian Healthcare Services

Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.

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