Manager of Network Integration
Company: Kelsey-Seybold Clinic
Posted on: November 21, 2022
Kelsey-Seybold Clinic, a Houston tradition in patient-centered
care, is a multispecialty clinic with over 25 locations and
comprises more than 500 physicians providing primary and specialty
care in a collaborative manner.
With 55 different clinical and non-clinical specialties, you can
design a career path at Kelsey-Seybold Clinic that allows you to
grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health cares. - -
The Manager of Network Integration is responsible for oversight of
the Sr. Provider Relations Liaison team and their efforts towards
establishing and maintaining strong positive business relationships
with current and potential Kelsey-Seybold and KelseyCare Advantage
affiliate and employed providers to ensure stable and
geographically disperse networks for the Kelsey-Seybold commercial
and Medicare Advantage health plans and KS Plan Administrators'
health plan products. Responsibilities include developing
educational instruction and ensuring support to physicians and
their staff. The Senior Provider Relations Liaison will be the main
point of contact for the respective providers and will routinely
visit physician's offices for issues concerning the achievement of
provider satisfaction, medical cost targets, network growth and/or
efficiency targets. This role includes responsibility for education
of the physicians and office staff on health plan products and
benefits, policy and procedure for multiple managed care plans,
assistance with claims payments and other duties as assigned.
Travel requirements - local and extensive.
Manager of Network Integration
Location: Pearland Administrative Office -
Department: Network Development
Job Type: Full Time -
Salary Range: - $97,219.20 to $120.099.20 (Pay is based on several
factors including but not limited to education, work experience,
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
A. Bachelor's Degree (1-year experience equivalent to 1 year of
Graduate degree in Business or Healthcare Administration.
5+ years contract negotiation experience at a health plan or
medical group.5+ years' experience in provider relations or network
management with a demonstrated ability to perform network
development and/or provider relations.Experience with developing
provider and/or facility networks. Must possess a knowledge of
claims processing, managed care plan benefits and utilization
management policies and procedures.
Demonstrated negotiation skills and ability to interpret provider
contracts and regulatory contracts.3+ years of experience in
Medicare/Commercial products5+ years' experience in applicable
healthcare administrative operations
Valid Texas Driver's License and ability to travel. Must own or
lease a working vehicle and be able to travel daily within the
Greater Houston area.
A. Demonstrated knowledge of CPT and ICD-10 coding and prior
experience with reimbursement methodologiesProficient with
Microsoft Word and ExcelAnalytical and problem-solving skills;
ability to communicate effectively in writing and verbally
Proficient with Excel and/or PowerPoint
A. Ability to work in a fast-paced environment; demonstrated
ability to perform multiple concurrent tasks with minimal
supervision and meet deadlinesDemonstrated public speaking and
Capable of managing a variety of complex issues while driving
momentum of key projects
Keywords: Kelsey-Seybold Clinic, Pearland , Manager of Network Integration, Executive , Pearland, Texas
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