PROVIDER NETWORK MANAGER jobs in Indiana
PROVIDER NETWORK MANAGER 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. Being a PROVIDER NETWORK MANAGER 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. Additionally, PROVIDER NETWORK MANAGER requires a bachelor's degree. Typically reports to top management. The PROVIDER NETWORK MANAGER 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. To be a PROVIDER NETWORK MANAGER typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added PROVIDER NETWORK MANAGER jobs
Manager, Provider Network Performance
- CareSource Management Services LLC
-
Indiana, IN
FULL_TIME
- Job Summary: The Manager, Provider Network Performance provides leadership and direction to staff to ensure the goals of the department are successfully achieved. Essential Functions: Ensure accurate and timely implementation of new Value Based Reimbursement (VBR) initiatives Lead value-based reimbursement team projects focused on the continued development and automation of VBR programs Assist in development of action plans throughout the business and establish control plans for implemented projects Work collaboratively and lead initiatives with various business units in identification, definition and communication of process metrics Prepare plans to track project performance and assure timely completion and achievement of project deliverables Identify and document opportunities for improvement with markets and business units as well as internally to the department Report and communicate the results from process improvement efforts to leadership Perform capability diagnostics utilizing process improvement tools, available metrics and business rules Responsible for robust competitor and provider competitive analysis and the creation of other information to formulate a business decision related to the provider network, defining gaps between current state and industry best practices Design future state network performance models that addresses opportunities uncovered during current state analysis Determine and document the impact of change on cross functional processes and collaborates with cross functional teams to address the associated risks of change Define and install processes, tools, and systems that allow for and support formal VBR reporting architectures, KPI controls and network performance transparency Perform Business Process Mapping – Current State and To-Be concepts and processes Research and make recommendations on new innovation around VBR and development of new initiatives Work with Senior Management to strategize and coordinate development of future VBR programs Develop enhanced VBR program tracking and reporting Develop and report on key accomplishments and issues to upper management Responsible for hiring, training and developing staff effectively, while ensuring a strong, competent and talented team of high integrity professionals Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary Perform any other job duties as requested Education and Experience: Bachelor’s Degree in Business Administration, or related field is required Three (3) years of provider operations experience is required Minimum one (1) year of management experience is required Provider contracting experience is preferred Competencies, Knowledge and Skills: Proficient with Microsoft Office to include Word, Excel and PowerPoint Excellent written and verbal communications skills Ability to develop, prioritize and accomplish goals Strong interpersonal skills and high level of professionalism Effective listening and critical thinking skills Effective problem-solving skills with attention to detail Ability to work independently and within a team Excellent leadership skills Ability to create and maintain excellent working relationships Ability to lead and direct the work of others including the development, motivation and rewarding of staff Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time May be required to travel occasionally Compensation Range: $79,800.00 - $127,600.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment. The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.
- 3 Days Ago
Manager, Provider Network Development
- Zelis Healthcare, LLC
-
Indianapolis, IN
FULL_TIME
- Position OverviewResponsible for the overall strategy and development of Zelis contracted network providers (current and prospective) in an effort to increase the savings achieved for Zelis clients fo...
- Just Posted
Network and Provider Relations Manager
- CommuniCare Family of Companies
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
- 1 Day Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Lafayette, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
- 9 Days Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Crown Point, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider net...
- 1 Day Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Greenwood, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
- 10 Days Ago
PROVIDER NETWORK MANAGER jobs at Popular Companies
Manager Provider Network Management
- AmeriHealth Caritas
-
Palm Beach Gardens, FL
- Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re pass...
- 6/11/2024 12:00:00 AM
Provider Network Manager Sr
- Elevance Health
-
Manchester, NH
- Anticipated End Date: 2024-07-31 Position Title: Provider Network Manager Sr Job Description: Location: NH-Manchester, M...
- 6/10/2024 12:00:00 AM
Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL
- Reef Systems
-
Eglin Afb, FL
- Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL Background/Experience : Shall read, understan...
- 6/10/2024 12:00:00 AM
Director of Provider Engagement
- Tandym Group
-
New York, NY
- A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
- 6/10/2024 12:00:00 AM
Strategic Account Executive
- Virsys12
-
- Strategic Sales Account Executive, Salesforce.com and Healthcare Consulting Practice and SAAS Software V12 Network Virsy...
- 6/10/2024 12:00:00 AM
Provider Network Manager
- Elevance Health
-
Miami, FL
- Anticipated End Date: 2024-06-18 Position Title: Provider Network Manager Job Description: Provider Network Manager (JR1...
- 6/9/2024 12:00:00 AM
Provider Network Manager
- Devoted Health
-
Cincinnati, OH
- At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for...
- 6/8/2024 12:00:00 AM
Dental Provider Network Manager (Client Relations Healthcare/Dental)
- LIBERTY Dental Plan
-
- Building Brighter Futures, One Smile at a Time! LIBERTY Dental Plan is seeking an experienced Dental Provider Network Ma...
- 6/7/2024 12:00:00 AM
About Indiana
Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west.
Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,928 to $131,469
Most Popular Cities in Indiana for PROVIDER NETWORK MANAGER Jobs
What does a PROVIDER NETWORK MANAGER do?
PROVIDER NETWORK MANAGER in Tucson, AZ
There are different Location Providers, which one is the most accurate? The GPS Provider or the Network Provider.
January 08, 2020
PROVIDER NETWORK MANAGER in Saint Louis, MO
Healthcare providers are continually struggling with the increasing pressure to cut down on patient costing, providing higher quality service, increased accessibility, etc.
January 10, 2020
PROVIDER NETWORK MANAGER in Norfolk, VA
5+ years of experience in a network management-related role, such as contracting or provider services.
February 05, 2020