Manages the operations of a healthcare provider network. Responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. May be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Requires a bachelor's degree. Typically reports to top management. Typically manages through subordinate managers and professionals in larger groups ... of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. Typically requires 3+ years of managerial experience.More Show Less
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Description. The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex providers. Providers may include, but are not limited to smaller institutional providers, professional providers with more complex contracts, medical groups, physicia...
Job Family: PND > Network Contracting. Type: Full time. Date Posted: Apr 23, 2024. Anticipated End Date: Jul 06, 2024. Reference: JR113878. Description. The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex providers. Providers may i...
Location: Indianapolis, INHours: M F Standard Working hoursTravel: Hybrid (1-2 days onsite) 20% Travel with potential overnight as neededPosition Overview:Directs the activities related to the development and maintenance of the company's Long Term Services and Supports (LTSS) provider delivery system through the provider relations representatives.How you will make an impact:Directs the communication and complaint resolution strategies between pro...
Under the supervision of the Director of Managed Care Operations, the Provider Network Manager is responsible for the overall coordination of the contracts between the Detroit Wayne Integrated Health Network (DWIHN) and the assigned network providers. . PRINCIPAL DUTIES AND RESPONSIBILITIES. Manages the contracts between (DWIHN) and the assigned network providers. . Serves as the primary liaison between the Network and the providers. Leads a “vir...
