Location: Arlington, TX
Company: Myan Management Group
Other Jobs is a category that encompasses a diverse range of employment opportunities outside traditional or mainstream careers. This category can include freelance work, gig economy roles, alternative industry positions, or even unconventional vocations that don't fit neatly into established job classifications. The key characteristics of other jobs are their non-standard nature, flexibility in terms of hours and commitment, and often, an entrepreneurial or creative spirit. They are ideal for individuals seeking less conventional career paths and those who wish to tailor their work-life to personal preferences or circumstances.
Other Jobs is a broad category encompassing the myriad of professions that don't neatly fit into traditional job classifications. They can range from gig economy roles to positions requiring highly specialized skills not commonly recognized in standard industry sectors. The key characteristic of Other Jobs is their diversity, with opportunities that can be tailored to unique talents, flexible schedules, and often innovative or unorthodox work environments. This category can serve as a flexible and creative employment avenue for those with niche skills or those seeking non-traditional career paths.
Other Jobs is a category that encompasses a diverse range of employment opportunities outside traditional or mainstream careers. This category can include freelance work, gig economy roles, alternative industry positions, or even unconventional vocations that don't fit neatly into established job classifications. The key characteristics of other jobs are their non-standard nature, flexibility in terms of hours and commitment, and often, an entrepreneurial or creative spirit. They are ideal for individuals seeking less conventional career paths and those who wish to tailor their work-life to personal preferences or circumstances.
Other Jobs is a comprehensive category that encompasses a diverse range of employment opportunities outside of the standard or mainstream career paths. These jobs may include gigs, freelance work, or unique roles in various industries that don't fit conventional job descriptions. The key features of Other Jobs include flexibility, non-traditional work environments, and often, the necessity for a creative or entrepreneurial mindset. They cater to individuals seeking alternatives to the nine-to-five routine, offering the chance to pursue passions or balance work with other life commitments.
of contracting and credentialing. ESSENTIAL FUNCTIONS OF THE ROLE Develops and maintains trusting, personal relationships with providers and their office staff via office visits, telephone calls and correspondence. Meets weekly provider contact goals and provides excellent customer service during each contact.
Serves as the liaison for providers and responds to all concerns and issues. Works with internal departments to ensure providers have a complete resolution. Delivers adequate education and training to providers and their office staff for all product lines including, but not limited to, conducting new provider orientations. Assists the Credentialing Team by performing site visits/surveys
as needed. Identifies gaps in the network and works with the Network Development Team to find providers to fill the gaps. Works with the Quality Improvement team on various HEDIS initiatives with the providers.
Facilitates information gathering for contract negotiations and reviews in order to expand provider networks and maximize cost effective care. Participates in and refers financial negotiations of hospital contracts to financial offices. Conducts periodic reviews and revises existing contracts in order to maximize cost effective care. Proposes modifications to new contract language. Collaborates with other departments to provide a systematic credentialing process for contracted
providers and effective contracting based on cost and frequency of utilization; ensures contracted providers and services meet quality standards to deliver safe and effective patient care.
KEY SUCCESS FACTORS Knowledge of managed care and/or health insurance industry. Proven relationship management skills. Able to negotiate and revise contracts in order to maximize cost effective care. Proven problem-solving and data-based skills. Able to collaborate on process definition and improvement and ensure quality standards are met. Able to multi-task, set priorities, and work autonomously with minimal supervision. Able to travel at least 75% of the time Monday through Friday, including some overnight stay.
Excellent written and verbal communication skills. BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification EXPERIENCE - 1 Year of Experience PDN-9ae9f3dc-5c9f-493b-b85e-8c80c4a8296a
