Provider Operatons Coordinator - CFHP
Job Description


     Manages and directs the activities of assigned Provider Relations Representatives and Data Management staff. Interfaces with various departments to resolve provider issues related to specific projects and initiatives in accordance with the health plan’s policies and procedures. Facilitates and monitors provider participation in provider incentive programs, THSteps service delivery and conducts audits to ensure compliance with regulatory and Benefit Program requirements.

Job Requirements

 A minimum of five years experience in managed health care delivery or managed care operations environment is required. Demonstrated expertise in problem resolution skills, presentation and communication skills, data management and claims. Previous supervisory experience required.

Company Overview

Owned by the people of Bexar County, University Health System is a nationally recognized academic medical center. In partnership with UT Medicine San Antonio, the practice plan of The University of Texas Health Science Center, it is consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Just recently, U.S. News & World Report ranked University Hospital as the Best Metro Hospital and Best for nephrology and urology. Also, University Hospital is the only pediatric trauma center for San Antonio and South Texas. The trauma team at University Hospital is recognized for its expertise in treating serious injuries and burns in children by the American College of Surgeons (ACS). The ACS verified University Hospital as a pediatric trauma center in October 2012, after a lengthy application process and site visit.

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