PROVIDER NETWORK MANAGER jobs in Kentucky

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)

E
Healthcare Provider Network Contractor
  • EWINGS INC.
  • Richmond, KY 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. By connecting with us now, you can be among the first to receive outreach regarding new project opportunities. `

    Our network consultants are typically responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process. Our projects typically lasts 6-12 months (or longer).

    All roles are 100% telecommute and are temporary by nature.

    EWINGS is the leader in helping clients build large-scale healthcare provider networks. Many of our projects have required teams of 100-200+ network consultants. Since 2002 we've developed provider networks for our clients in over 700 cities and all 50 states.

    While many of our clients are members of the FORTUNE 500, we also work with numerous start-ups that are experiencing rapid growth. One client has achieved membership growth of 400% year-over-year for the last two years.

    It is an exciting time to be a EWINGS consultant! A network assignment with EWINGS provides you an opportunity to quickly gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes.

    New projects are starting all the time, so now is your chance to introduce yourself to our organization and join our roster of exceptional talent.

    Typical Job Titles

    • Associate Healthcare Provider Network Contractor
    • Healthcare Provider Network Contractor
    • Senior Healthcare Provider Network Contractor
    • Network Provider Advocate
    • Network Contract Manager
    • Network Program Manager
    • Provider Relations Specialist
    • Credentialing Representative
    • Provider Install
    • Project Manager/Director
    • Data Programmer/Analyst

    Typical Job Responsibilities

    • Use data supplied by the client to call providers, establish a relationship, and initiate a contracting discussion.
    • Send contracts to providers, negotiate rates, and manage other terms of the agreement.
    • Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls.
    • Update provider data and document contracting activities.
    • Provide feedback from prospective and newly contracted providers to the client.
    • Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
    • Track the progression of contracts as they flow through the process and follow-up with colleagues when necessary to keep things moving forward.

    Please submit your resume and information. Candidates that input the information requested in the registration process will increase their chances of being contacted when a position matches their exact skills and experience.

    Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH
  • 2 Days Ago

E
Healthcare Provider Network Contractor
  • EWINGS INC.
  • Frankfort, KY 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....
  • 8 Days Ago

E
Healthcare Provider Network Contractor
  • EWINGS INC.
  • Florence, KY 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....
  • 15 Days Ago

E
Healthcare Provider Network Contractor
  • EWINGS INC.
  • Elizabethtown, KY 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....
  • 16 Days Ago

P
Quality Assurance Manager
  • Provider Resources, Inc.
  • Louisville, KY FULL_TIME
  • Position Description: Quality Assurance Manager Under the direction of the Program Manager for the Independent Dispute Resolution Entity (IDRE) or their delegate, the Quality Assurance Training Manage...
  • 23 Days Ago

H
Advisor, Medicaid Provider & Network Strategy
  • Humana
  • Louisville, KY FULL_TIME
  • Become a part of our caring community and help us put health first The Advisor, Medicaid Provider & Network Strategy will be accountable for leading the development of Humana Healthy Horizon’s (Medica...
  • 24 Days Ago

A
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

E
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

A
Manager Provider Network Management
  • AmeriHealth Caritas
  • Manchester, NH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 6/10/2024 12:00:00 AM

E
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

D
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

L
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

T
AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Anaheim, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 12:00:00 AM

T
AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Glendale, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$101,791 to $127,539

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