Provider Services Manager. The Contractor must employ a Provider Services Manager who is dedicated full-time to the Hoosier Care Connect program. The Provider Services Manager must, 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. 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 6.0.
Appears in 23 contracts
Samples: Contract for Providing Risk Based Managed Care Services, Contract #0000000000000000000051705, Contract
