Manager, Provider Enrollment - Managed Care **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2501176 **REQUIRED** **EDUCATION** **/** **EXPERIENCE:** Bachelor’sdegreeorequivalentinrelatedfieldandsixyears’experiencewithproviderenrollment,hospitalandphysicianbillingorhealthplanexperience. **JOB** **SUMMARY:** Tooverseetheproviderenrollmentfunctionwithallgovernmentandcommercialpayorsandassistwithproblemidentificationandresolutionofpayorrelatedissuesinvolvingprovidercredentialing,physicianorhospitalbilling,andotherpayorrelatedactivities.OverseehospitalcontractloadingandvariancereportingfromtheMedAssetssystem.Provideassistancewithoversightforhospitalandphysicianchargemastermaintenance. **MAJOR** **DUTIES** **/** **CRITICAL** **TASKS:** + OverseesallUTMBactivitiesrelatedtoproviderenrollmentwithgovernmentandcommercialpayorsmonthlyreportsandcommunicationsregardingproviderenrollmentinitiativestodepartmentswithintheSchoolofMedicine. + EstablishesmonthlyreportsandcommunicationsregardingproviderenrollmentinitiativestodepartmentswithintheSchoolofMedicine. + Establishesprotocolsfor timelyenrollmentofnewproviders inconjunctionwiththeSchoolofMedicinetoensureproperbillingandcollectionsfor allnewproviders. + ProvidesoversightandassistancetoRevenueCycleOperationstoaddressmanagedcareissues.InterfaceswiththirdpartiesasneededonbehalfofUTMBtoresolvepaymentissues. + AssistsUTMBdepartmentswithupdatedmanagedcareinformationandmonthlyreportsregarding changesincontractsforboth FacultyGroup PracticeandHealthSystem. + Providesdailyoversighttostaffresponsibleformaintenanceofhospitalandphysicianfeeschedules. + AssistsUTMBwithongoingmaintenanceandcommunicationofpricelistfornon-coveredservices.Helps tovalidate servicesarecompetitivelyandconsistentlypriced. + OverseesstaffresponsibleformaintenanceofMedAssetscontractmanagementsystemandvariancereporting. + Providesfeedbacktouppermanagementregardingsectionactivitiesthroughwrittenreports,correspondenceandverbalcommunication. + Performsrelateddutiesasrequired. **WORKING** **ENVIRONMENT:** Standardhospital,clinicaland/orofficeenvironment. **SALARY RANGE:** Actual salary commensurate with experience. **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities. Compensation