Description: ??The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs ??Acts as the primary contact for an assigned profile of larger and more complex providers ??Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth and efficiency targets ??Research and handle contract related issues ??Claims research related to provider set up issues, payment resolutions ??Facilitate JOCs and webinars, provider orientations/visits, provider training, state projects ??Create and manage provider-facing communications ??Collaborate with Quality Management and VBS team ??Coordinate with Network Management to issue provider CAP ??Monitor Grievances according NCQA standards categories ??Document visits/encounters in the appropriate systems Requirements: ??Excellent interpersonal skills and the ability to work with others at all levels ??Minimum of 2 years??experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards ??Excellent analytical and problem-solving skills ??Strong communication and presentation skills ??3+ years' experience in Medicaid Managed Care business segment environment with exposure to benefits and/or contract interpretation ??Working knowledge of business segment specific codes, products, and terminology Benefits: ??Affordable medical plan options ??401(k) plan (including matching company contributions) ??Employee stock purchase plan ??No-cost programs for all colleagues including wellness screenings ??Tobacco cessation and weight management programs ??Confidential counseling and financial coaching ??Paid time off ??Flexible work schedules ??Family leave ??Dependent care resources ??Colleague assistance programs ??Tuition assistance ??Retiree medical access