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)
Health Network One is the leader in managing specialty healthcare networks. Founded in 1999, we are a rapid growing, private equity-backed company that delivers cost savings to our health plan customers, world-class service to our provider networks, and access to quality healthcare for health plan members.
On behalf of our health plan clients, we manage the entire network value chain, including utilization management, claims, and provider management. Our specialty networks exceed 10,000 providers and include outpatient therapy, dermatology, podiatry and more. Today we operate in four states and are expanding into four more; in total, we cover more than 5,000,000 lives.
Position Summary:
Interacts with and discusses contract and credentialing with physicians, specialist, ancillary providers and hospitals. Performs revenue analyses for the Provider Relation/ Network Department.
Essential Duties and Responsibilities
Required Education and Experience
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
Weekly day range:
Work setting:
Work Location: In person
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0 PROVIDER NETWORK MANAGER jobs found in Fort Lauderdale, FL area