Provider Contracting Manager jobs in Indianapolis, IN

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager 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. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Director of Provider Development & Contracting
  • Provider Partners Health Plan
  • Indianapolis, IN FULL_TIME
  •  
    Provider Partners is searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. The Director of Provider Development & Contracting plays a pivotal role in managing and developing relationships with healthcare providers within our network. This position is responsible for ensuring a high level of provider satisfaction and service while optimizing network performance and strategy.
     
    Key Responsibilities: 
     
    Provider Relationship Management:
    • Serve as the primary contact for healthcare providers.
    • Maintain and enhance strong, long-term relationships with providers.
    • Address and resolve provider inquiries and concerns in a timely and professional manner.
    • Conduct provider orientations and provide ongoing education on PPHP policies, procedures, and new initiatives.
    Network Development and Management:
    • Identify, recruit, and contract with new providers to expand our network.
    • Negotiate contract terms, rates, and agreements with providers.
    • Analyze network performance, identify gaps, and recommend improvements.
    • Work collaboratively with internal teams to ensure network adequacy and to develop network strategies.
    Performance Monitoring and Reporting:
    • Monitor provider performance metrics and ensure compliance with contractual and regulatory requirements.
    • Prepare and present network performance reports to senior management.
    • Evaluate provider satisfaction and recommend strategies for improvement.
    Compliance and Regulatory Adherence:
    • Ensure provider compliance with state, federal, and PPHP regulations and standards.
    • Stay abreast of changing regulatory requirements and ensure timely communication to providers and internal stakeholders.
    Project Management:
    • Lead and participate in cross-functional projects aimed at improving network performance and provider satisfaction.

    Qualifications:
    • Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred.
    • Minimum of 5-10 years of experience in healthcare network management or provider relations in the state of Indiana.
    • Strong knowledge of healthcare industry, contract negotiations, and regulatory compliance.
    • Excellent communication and interpersonal skills with the ability to build strong relationships with providers and internal teams.
    • Strong analytical and problem-solving skills.
    • Ability to manage multiple priorities in a fast-paced environment.
    • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

  • 21 Days Ago

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Contracting and Payor Relations Manager
  • Bierman Autism Centers
  • Indianapolis, IN FULL_TIME
  • Description Are you ready to make a meaningful impact in a rapidly growing ABA company? Bierman Autism Centers is seeking a Contracting and Payor Relations Manager to join our dedicated team. This piv...
  • Just Posted

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Commercial general contracting Project Manager
  • Gilliatte General Contractors Inc.
  • Indianapolis, IN FULL_TIME
  • Gilliatte General Contractors is seeking an effective, take-charge Construction Project Manager that can see the big picture and execute on needed objectives. Must be self-motivated and able to succee...
  • 8 Days Ago

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Project Manager - Estimator
  • JDH Contracting Inc.
  • Plainfield, IN FULL_TIME
  • Join JDH Contracting Inc. to help build the infrastructure that helps move our world forward! When you become part of the JDH team you will find a team focused environment with our focus on safety. We...
  • 19 Days Ago

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Provider Network Manager
  • Elevance Health
  • Indianapolis, IN FULL_TIME
  • Job Family: PND > Network Contracting Type: Full time Date Posted: Apr 22, 2024 Anticipated End Date: May 24, 2024 Reference: JR113663 Description Location: Indianapolis, IN Hours: M – F Standard Work...
  • 1 Day Ago

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Network and Provider Relations Manager
  • CommuniCare Corporate
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations Manager CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantag...
  • 9 Days Ago

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0 Provider Contracting Manager jobs found in Indianapolis, IN area

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Project Manager - Electrical Contractor
  • Gaylor Electric, Inc.
  • Indianapolis, IN
  • Location: Flexible, extensive travel required Company Overview: Gaylor Electric is a leading electrical contracting comp...
  • 4/25/2024 12:00:00 AM

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Delivery Driver
  • Chef for Hire Inc
  • Indianapolis, IN
  • Job Description Job Description We are seeking a Delivery Driver to join our team! You will drive a refrigerated van del...
  • 4/24/2024 12:00:00 AM

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Traffic Logistics Manager
  • NCW
  • Indianapolis, IN
  • Job Description Job Description Traffic Logistics Manager A top Indiana chemical distribution company is hiring a Traffi...
  • 4/24/2024 12:00:00 AM

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Workforce/Organizational Change Project Manager – Government Contractor
  • SD Solutions, LLC
  • Indianapolis, IN
  • Job Title: Workforce/Organizational Change Project Manager – Government Contractor Location: Indianapolis, IN Department...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • LRT Restoration Technologies
  • Indianapolis, IN
  • With concrete restoration at the core of its business, LRT has become a leader in the application of the latest technolo...
  • 4/23/2024 12:00:00 AM

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Indirect Procurement Manager
  • Heartland Food Products Group
  • Indianapolis, IN
  • Scope: The Indirect Procurement Manager is responsible for all purchasing, sourcing, contracting, and managing the perfo...
  • 4/23/2024 12:00:00 AM

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Indirect Procurement Manager
  • Heartland Food Products Group
  • Indianapolis, IN
  • Scope: The Indirect Procurement Manager is responsible for all purchasing, sourcing, contracting, and managing the perfo...
  • 4/21/2024 12:00:00 AM

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Senior Executive Chef
  • Aramark
  • Indianapolis, IN
  • Job Description The Senior Executive Chef is responsible for directly supervising kitchen personnel. This role will supe...
  • 4/19/2024 12:00:00 AM

Indianapolis is in the East North Central region of the Midwestern United States, in central Indiana. According to the U.S. Census Bureau, the Indianapolis (balance) encompasses a total area of 368.2 square miles (954 km2), of which 361.5 square miles (936 km2) is land and 6.7 square miles (17 km2) is water. The consolidated city boundaries are coterminous with Marion County, with the exception of the autonomous municipalities of Beech Grove, Lawrence, Southport, and Speedway. Indianapolis is the 16th largest city by land area in the U.S. Indianapolis is within the Tipton Till Plain, a flat to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$106,228 to $141,072
Indianapolis, Indiana area prices
were up 1.3% from a year ago

Provider Contracting Manager in Scranton, PA
In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
December 11, 2019
Provider Contracting Manager in Allentown, PA
The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
January 16, 2020
Provider Contracting Manager in Savannah, GA
The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
January 03, 2020