Manages the network of healthcare providers to ensure effective operations and coverage of services. Researches and collects information to evaluate healthcare providers and assist with network development. Manages, reviews, and renews contracts with healthcare providers, evaluating terms, expectations, and compliance with organizational policies and regulatory requirements. Facilitates positive relations with providers, acting as a primary point of contact, resolving questions and concerns, and providing support and resources to ensure services meet standards. Recruits, hires, and trains staf ...f and oversees credentialing. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.More Show Less
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At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care tha...
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care tha...
SUMMARY. This position is responsible for developing and implementing the strategic direction of the Provider Network in accordance with financial, regulatory, operational, and quality objectives of the organization which includes multiple aspects of the provider experience including contracting, education and outreach, access and availability, and data and reporting. This position is also responsible for managing growth in the provider network, ...
Job Details. Job Location. Hybrid - Southfield, MI. Position Type. Full Time. Education Level. 4 Year Degree. Salary Range. Undisclosed. Job Shift. Day. Job Category. Nonprofit - Social Services. Description. Provider Network Manager oversees the provider network, provider relationships, and quality of service delivery through coordination of long-term supports and services. Operations. Provider Network Manager (PNM) will oversee the day-to-day o...
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology. . to deliver a complete and integrated healthcare solution that delivers high quality care th...
Anticipated End Date: 2025-06-16 Position Title: Provider Network Manager Job Description: Provider Network Manager Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic a...
