Sanford Health Manager, Provider Relations - Provider & Payor Relations in Fargo, North Dakota

Job Title: Manager, Provider Relations | Provider & Payor Relations | Fargo

City: Fargo

State: North Dakota

Department : Provider & Payor Relations

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

Responsible for overseeing and managing the Provider Relations department (hiring, training, coaching, counseling, educating, developing, disciplining, and terminating). Monitor staff performance thru annual performance appraisal, approving vacation, sick and holiday pay, and ensures compliance of staff with regards to annual education requirements. Effectively manages the overall operations of the department implementing efficiency practices and procedures. Meet with staff on a regular basis individually and as a team to enhance performance, promote teamwork and provide educational opportunities. Reviews existing office procedures and implements successful modifications and changes as appropriate. Demonstrates an ability to professionally assess a situation, consider alternatives, or seek assistance from appropriate personnel and choose proper course of action. Demonstrates proficiency in managing and organizing meetings, manage multiple priorities and projects. Supervise the department reports, provider directory, W9 process, provider nomination request, and daily workflow of the department. Maintains strict confidentiality of sensitive information. Liaison to provider contracting. Oversee annual contract updates are completed in Tapestry and in the Access Database.

DEPARTMENT DETAILS

Provides oversight to provider services to include: coordination of on-boarding activities; provider reporting, communication and process flow between related to provider services and operations. Focuses on enhancement and improvement of the provider experience. Must have the ability to analyze and interpret provider data reports, apply problem-solving techniques in a variety of situations and manage multiple projects simultaneously. Strong leadership, organizational, and communication skills are needed. Must possess knowledge of the principles and practices of contracting, provider enrollment processes, and credentialing, including NCQA standards.

QUALIFICATIONS

Bachelor's degree required with a concentration in a health care field is preferred. Must have 3-5 years of related experience.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S.

employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .

City: Fargo

State: North Dakota

Job Function: Health Plan

Job Schedule: Full Time

Shift: Days

Req Number: req20070