Provider Services Manager. The Contractor shall employ a Provider Services Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Provider Services Manager shall, at a minimum, be responsible for the provider services helpline performance, provider recruitment, contracting and credentialing, facilitating the provider claims dispute process, developing and distributing the provider manual and education materials and developing outreach programs. The Provider Services Manager oversees the process of providing information to the State fiscal agent regarding the Contractor’s provider network, including PMPs, via Provider Healthcare Portal (Portal). The Provider Services Manager, in close coordination with other key staff, is responsible for ensuring that all of the Contractor’s provider services operations are in compliance with the terms of the Contract. For more information regarding the provider services program requirements, see Section 5.
Appears in 19 contracts
Samples: Professional Services Contract #0000000000000000000032137, Professional Services Contract Contract #0000000000000000000018314, Professional Services Contract #0000000000000000000032139
Provider Services Manager. The Contractor shall employ a Provider Services Manager who is dedicated full-time to the Contractor’s Healthy Indiana Medicaid product linesPlan product. The Provider Services Manager shall, at a minimum, be responsible for the provider services helpline performance, provider recruitment, contracting and credentialing, facilitating the provider claims dispute process, developing and distributing the provider manual and education materials and developing outreach programs. The Provider Services Manager oversees the process of providing information to the State fiscal agent regarding the Contractor’s provider network, including PMPs, via Provider Healthcare Portal (Portal). The Provider Services Manager, in close coordination with other key staff, is responsible for ensuring that all of the Contractor’s provider services operations are in compliance with the terms of the Contract. For more information regarding the provider services program requirements, see Section 58.
Appears in 13 contracts
Samples: Professional Services Contract Contract #0000000000000000000018314, Contract #0000000000000000000018315, Contract #
Provider Services Manager. The Contractor shall employ a Provider Services Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Provider Services Manager shall, at a minimum, be responsible for the provider services helpline performance, provider recruitment, contracting and credentialing, facilitating the provider claims dispute process, developing and distributing the provider manual and education materials and developing outreach programs. The Provider Services Manager oversees the process of providing information to the State fiscal agent regarding the Contractor’s provider network, including PMPs, via Provider Healthcare Portal (Portal). The Provider Services Manager, in close coordination with other key staff, is responsible for ensuring that all of the Contractor’s provider services operations are in EXHIBIT 1.E HOOSIER HEALTHWISE SCOPE OF WORK compliance with the terms of the Contract. For more information regarding the provider services program requirements, see Section 5.
Appears in 4 contracts
Samples: Contract, Contract #0000000000000000000032139, Contract #0000000000000000000032137