Independence Blue Cross LLC
Philadelphia, PA
The Manager, Provider Network Services is accountable for creating, implementing, and maintaining an effective model for servicing (external facing and via provider portal) professional, hospital, ancillary and specialty care providers and integrated delivery systems in Pennsylvania and Delaware. MAJOR ACTIVITIES: 1. Manages the relationships between Independence/AmeriHealth and providers’ practice administrators, medical directors, and health system administrators to ensure high-quality, provider satisfaction and compliance with contractual obligations, applicable State & Federal regulatory requirements, accreditation standards, and corporate policies. 2. Recruits, retains, allocates and develops staff and create positive working relationships with functional areas, providers, and other external customers/stakeholders. 3. Manages service issues tracking and reporting. 4. Performs analysis of...