Senior Manager Provider Relations
Current• Responsible for the operational oversight of the Provider Experience of the Medicaid and DSNP/FIDE Programs, which includes 268,157 members and over 40,000 providers.• Responsible for the operational oversight of Provider training and education, which includes a monthly average of 96 site visits.• Responsible for the development of provider trends, which includes a monthly average of 284 provider inquiries with 21 different categories.• Responsible for the operational oversight of… Show more • Responsible for the operational oversight of the Provider Experience of the Medicaid and DSNP/FIDE Programs, which includes 268,157 members and over 40,000 providers.• Responsible for the operational oversight of Provider training and education, which includes a monthly average of 96 site visits.• Responsible for the development of provider trends, which includes a monthly average of 284 provider inquiries with 21 different categories.• Responsible for the operational oversight of Provider communications, which include newsletters, notifications, website content, manuals, and emails.• Responsible for the creation and maintenance of Provider Experience policies and procedures, which includes annual review and update.• Worked collaboratively with the Quality department to add Health Equity requirements to the member ID cards.• Developed production metrics for staff that could accurately capture workloads. Show less