PROVIDER NETWORK MANAGER jobs in Michigan

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)

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Manager: Provider Network Management Department
  • Region 10
  • Port Huron, MI FULL_TIME
  • Essential Functions

    The Manager of the Provider Network Management Department is an administrative position with responsibility in providing direction for provider network management activities for the provider organizations that deliver public behavioral health services in the counties of Genesee, Lapeer, Sanilac, and St. Clair and their contract agencies.

    • Provide training, guidance, and support to the Network Management Team and Network Providers.
    • Chair the PIHP Provider Network Committee and Privileging & Credentialing Committee.
    • Member of the Quality Improvement Committee.
    • Review Privileging and Credentialing initial and renewal applications and manage process for tracking, notifications, and updates.
    • Provide support for external audits including reviewing document submissions, providing presentations, and developing recommendations on Corrective Action Plans.
    • Manage provider contracts.
    • Oversee Policy and Procedure development and ongoing review.
    • Manage Medicaid bulletin and proposed policy reviews.
    • Oversee process for monitoring provider service contracts.
    • Manage procurement activities including requests for proposals.
    • Supervision of Provider Network Management staff.
  • 12 Days Ago

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Manager-Provider Network Management Department
  • Region 10 PIHP
  • Port Huron, MI FULL_TIME
  • Region 10 is committed to being a premier employer by enhancing the lives of our team and supporting their growth as people and professionals. $1500 sign-on bonus available. We provide competitive wag...
  • 12 Days Ago

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Provider Network Specialist
  • Montcalm Care Network
  • Stanton, MI FULL_TIME
  • General Summary Montcalm Care Network has an opportunity for a Provider Network Specialist. Under the supervision of the Fiscal Manager, this position will be responsible for credentialing and privile...
  • 2 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Taylor, MI 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....
  • 7 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Macomb, MI 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

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Ypsilanti, MI 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....
  • 11 Days Ago

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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

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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

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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

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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

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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

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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

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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

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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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$106,767 to $133,773

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