Manager Provider Relations
Company: Beacon Health Options
Location: Little Rock
Posted on: January 17, 2020
Beacon Health Options
Job Category: Provider & Network - Relationship Mgt
Req #: MANAG01988
Schedule: Full Time
Location: AR - Little Rock
We Help People Live their Lives to the Fullest Potential!
For more than 30 years, Beacon has changed the way people live with
behavioral health conditions. Today, we are the undisputed leader
in behavioral health management, serving 40 million people across
all 50 states. At Beacon, we are committed to delivering a
'world-class' candidate experience from the moment you click
'Apply'! Our goal is to help you reach your fullest potential,
while utilizing your talents and expertise to help us deliver on
Do you have a passion for helping others? If so, we are looking for
Beacon is currently seeking a Manager Provider Relations a highly
organized and compassionate professional to join our team at our
Little Rock, AR office. The Manager, Provider Relations is
responsible for oversight of day-to-day operations and manages the
work flow of the Provider Relations Representatives; including, but
not limited to, daily coordination of work load with staff,
performance management, and higher level support and guidance with
provider relations issues and/or inquiries. This position will
support and execute provider relations aspects of the provider
strategy for existing business as set forth by leadership and acts
as a liaison to ensure that all appropriate departments are
What does a typical day look like?
--- Lead a team of Provider Relations Representatives focused on
internal customer and client satisfaction, compliance with
internal, client, regulatory and accreditation standards,
successful audits, and provider engagement.
--- Ensure day-to-day activities are performed effectively and
support the larger network strategy, including meeting financial
--- Develop, implement and maintain production and quality
standards for the provider relations team. Train, educate and
motivate team members to reach department goals and objectives.
--- Consistently strive to improve provider satisfaction by
communicating with providers, identifying root cause of provider
issues, developing and executing strategy to resolve provider
issues. Engage operational business partners as necessary to track
and resolve ongoing provider issues with care and urgency.
--- Serve as the network escalation point for network and provider
issues for regional and shared service leadership.
--- Support the regional Director of Provider Relations in meeting
internal and external performance standards and guarantees.
--- Develop strong relationships with network providers. Provide
timely and effective communication for problem resolution, training
and education. Manage and balance Beacon and provider
--- Support a provider servicing strategy that is aligned with
overall regional and corporate provider partnership strategies.
Uphold guidelines around frequency, content and measurement of
service standards to ensure compliance with departmental and
--- Develop and maintain assignments for provider relations
representatives based on ability, strategic focus or other
corporate or departmental priorities.
--- Maintain in-depth, accurate and current working knowledge of
all relevant policies and procedures, and acts as a departmental
SME for provider relations department.
--- Responsible for resource development, updates and maintenance
of provider orientations, training materials and provider manuals
that align with the provider contractual responsibilities and
Beacon policies and procedures.
--- Assist with preparation and dissemination of provider
communications such as newsletters, provider manual, mailings, and
training programs to educate providers on plan policies or engage
them in specific initiatives.
--- Act as a key resource to external providers and internal key
stakeholders as it pertains to operational issues impacting
--- Collaborate with the designated team(s) to transition new
business for ongoing operations.
--- Report on and trends operational issues, analyzes root cause
and implements solutions. Engage internal business partners as
--- Maintain and track measurement of network adequacy by timely
dissemination of access and availability surveys.
--- Partner with management to identify areas of opportunity within
the provider relations department and make improvements on
processes, culture, or work environment.
--- Perform special projects, data analysis, develop specific
action plans, and other duties as assigned by the department lead
to successfully perform the role.
What you Contribute?
Education: Bachelor's Degree required.
Knowledge, Skills & Abilities:
--- 2 - 3 years of supervisory experience, demonstrating superior
people leadership skills
--- At least 3 years of provider relations experience in a similar
--- 3 - 5 years of healthcare payor experience. Prefer strong
knowledge of managed care network and provider operations,
including general familiarity with managed care claims,
eligibility, capitation, compliance, utilization management and
--- Excellent verbal and written communication skills
What Makes Us Different?
--- Here, it's not just a job - it's an opportunity to change
--- Our employees are learners, innovators and original
--- Our mission and values guide the way we treat our members,
providers and each other.
What We Have to Offer:
--- Healthcare benefits available starting day 1!
--- Health & wellbeing incentives, such as gym membership
--- 401K with company match to help reach your future financial
--- Generous PTO, because we know life happens outside of work
--- Tuition reimbursement so you can keep reaching your fullest
If Beacon sounds like the place for you, what are you waiting for?
Apply with us today to get started!
Beacon Health Options is proud to be an Equal Opportunity and
Affirmative Action Employer as well as a Drug Free and Tobacco Free
Work Environment. EOE/AA/M/F/Veterans/Disabled
At Beacon Health Options, our candidate's data privacy is a top
priority. Our recruiting team conducts all communications using
official company email (@BeaconHealthOptions.com). Only candidates
who have applied for an open position through our Careers page
(careers.beaconhealthoptions.com) will be engaged in our interview
process. Beacon conducts all interviews in person or over the
phone. At no time during the recruiting process will any Beacon
recruiter request any financial or personally identifiable
information from you.
Keywords: Beacon Health Options, Little Rock , Manager Provider Relations, Executive , Little Rock, Arkansas
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