The Provider Relations Representative is responsible for contracting and credentialing providers to ensure network adequacy for Medicare Advantage plans. They also educate providers on health plan functions and monitor relationships to maintain coverage and compliance with CMS standards.
The Provider Network Manager is responsible for establishing and maintaining competitive, CMS-compliant healthcare provider networks through effective contract negotiations. They also serve as a subject matter expert while fostering positive business relationships with contracted providers.
The Nurse Practitioner will assess medical and mental health needs of long-term care residents to develop and monitor proactive care plans. They will collaborate with an integrated care team, prescribe medications, and ensure compliance with federal and state clinical regulations.
The Provider Relations Representative is responsible for contracting and credentialing providers to ensure network adequacy for Medicare Advantage plans. They also educate providers on health plan functions and maintain ongoing relationships to support member care.
The Provider Relations Representative is responsible for contracting and credentialing providers to ensure CMS network adequacy. They also educate providers on health plan functions and maintain ongoing relationships to support network coverage.
