Common use of Provider Services Manager Clause in Contracts

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 EXHIBIT 1.E SCOPE OF WORK – HOOSIER HEALTHWISE 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.