CareMore Health Plan
Provider Relations Manager
November 2015 — Present
• Develop and maintain positive relations with physicians, providers and practice managers within a local provider delivery system
• Research and resolve operational issues, including provider grievances and service issues
• Provide explanations to providers regarding contract compliance, company procedures and policies, etc.
• Participate in the identification of area network requirements based on member population
• Develop and enhance training programs for providers
• Conduct provider seminars and presentations on company networks, business operations, procedures and protocols
• Develop new provider programs and address major issues related to systems, customer service issues, new network implementation, etc.