PROVIDER NETWORK MANAGER jobs in Hialeah, FL
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
IT SPECIALIST (SYSADMIN/NETWORK)
- USAJOBS
-
Key West, FL
FULL_TIME
-
Job Details
Duties
- You will administer the installation, testing, operation, troubleshooting, and maintenance of hardware and software systems in support of the NAVFAC organization's Information Management / Information Technology (IM/IT) programs.
- You will provide advice and recommendations on IM/IT system administration.
- You will interpret and apply IM/IT policies, processes and guidelines, conduct systems and applications analysis/design and recommend resolutions to problems and issues.
- You will troubleshoot networks, systems, and applications to identify and correct malfunctions and other operational problems.
Conditions of Employment
- Must be determined suitable for federal employment.
- Must participate in the direct deposit pay program.
- New employees to the Department of the Navy will be required to successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov
- Within the Department of Defense (DoD), the appointment of retired military members within 180 days immediately following retirement date to a civilian position is subject to the provisions of 5 United States Code 3326.
- Males born after 12-31-59 must be registered for Selective Service.
- Successful completion of a pre-employment drug test (including marijuana) is required. A tentative offer of employment will be rescinded if you fail to report to the drug test appointment or fail the test. You will be subject to random testing.
- You will be required to obtain and maintain an interim and/or final top secret security clearance prior to entrance on duty. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
- This position may require travel from normal duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to travel on military and commercial aircraft for extended periods of time.
- You will be required to complete training, obtain, and maintain a government credit card for travel and travel-related purchases.
- This position is covered under the Defense Acquisition Workforce Improvement Act (DAWIA). Certification in the Acquisition Functional Area and category assigned to the position is required within established category timeframes.
- This position is designated as a Cyber IT/Cybersecurity Workforce position. You must obtain and maintain the credentials as described in SECNAV M-5239.2 for specialty area 451/441 level BASIC within 12 months of appointment.
- You will be required to maintain a current Security certification.
You must have one year of information technology related experience in the federal service or private or public sector demonstrating the following four competencies, as defined:- Attention to Detail - Is thorough when performing work and conscientious about attending to detail. IT-related experience demonstrating this competency includes: Managing the installation and integration of system fixes, updates, and enhancements.
- Customer Service - Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services. IT-related experience demonstrating this competency includes: Working closely with customer officials to ensure seamless implementation of IT policies and systems.
- Oral Communication - Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately. IT-related experience demonstrating this competency includes: Preparing or presenting present reports and plans; recommending resolution and improvements on various matters; e.g., network and operational technology procurement.
- Problem Solving - Identifies problems; determines accuracy and relevance of information; uses sound judgment to generate and evaluate alternatives, and to make recommendations. IT-related experience demonstrating this competency includes: Troubleshooting installed operating systems to identify and resolve issues.
In addition to experience demonstrating the four competencies above your resume must demonstrate at least one year of specialized experience at or equivalent to the GS-11 grade level or pay band in the Federal service or equivalent experience in the private or public sector, performing duties such as:- Administering the installation, testing, operation, troubleshooting, and maintenance of hardware and software systems to include routers, switches, workstations and servers in an Operational Technology (OT)/Industrial Control Systems (ICS) environment;
- Managing accounts, network rights, and access to systems and equipment;
- Resolving hardware/software interface and interoperability problems.
Additional qualification information can be found from the following Office of Personnel Management website: Information Technology (IT) Management Series 2210 (Alternative A) (opm.gov)
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.
Additional information
This position is covered by the Department of Defense Priority Placement Program.
Several vacancies may be filled.
This announcement uses the Defense Industrial Base, Major Range and Test Facilities direct hire authority to recruit and appoint qualified candidates to certain positions in the competitive service.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
Federal annuitant information: The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annuitants. Policy information may be found at: .
Veteran's preference does not apply when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation with your application as described in the Required Documents section below.
Certain incentives (such as Recruitment, Relocation or Student Loan Repayment) may be authorized to eligible selectees.
A relocation incentive is generally a single payment intended to offset some of the relocation costs experienced by the selectee. A relocation incentive may be authorized.
- Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits .
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
You will be evaluated for this job based on how well you meet the qualifications above.
In order to qualify for this position, your resume must provide sufficient experience and/or education, knowledge, skills, and abilities to perform the duties of the specific position for which you are being considered. Your resume is the key means we have for evaluating your skills, knowledge, and abilities as they relate to this position. Therefore, we encourage you to be clear and specific when describing your experience.
As vacancies occur, the Human Resources Office will review your resume to ensure you meet the hiring eligibility and qualification requirements listed in this flyer. You will be rated based on the information provided in your resume, along with your supporting documentation.
If selected, you may be required to provide additional supporting documentation.
If after reviewing your resume and supporting documentation, a determination is made that you inflated your qualifications and/or experience, you may be found ineligible/not qualified.
Please follow all instructions carefully. Errors or omissions may affect your rating or consideration for employment.
All qualification requirements must be met before being considered for any vacancies.- Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits .
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. - Required Documents
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
A complete resume is required. Your resume must show relevant experience, job title, duties and accomplishments. Your resume must show complete information for each job entry to support minimum qualifications. The following information should be provided in your resume, but it is acceptable to provide elsewhere in your application package: employer's name, starting and end dates (Mo/Yr), hours per week, and pay plan, series and grade level (e.g. GS-0201-09) for relevant federal experience.TIP: A good way to ensure you include all essential information is to use the Resume Builder in USAJOBS to create your resume.
Are you claiming membership in any professional organizations, or possession of a license, certificate or credentials? Check the Conditions of Employment section above to see if any are required. If you claim membership, license, certification, or credentials, you must submit a copy of said document in your application package.
Are you using education as a substitute for some or all of the experience requirement? Is there a basic education requirement for this position? Check the Education section above to see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire regarding education or degrees MUST be supported by submitting with your application official or unofficial transcripts or a list of courses, grades earned, completion dates, and quarter and semester hours earned issued from your school. While unofficial transcripts are acceptable for initial application, an official transcript will ultimately be required if you are selected for the position. You may submit a copy your degree(s) if specific coursework does not have to be verified.
Are you a veteran claiming 5-point veterans' preference or claiming sole survivorship preference? You must submit a copy of your latest DD-214 Certificate of Release or Discharge from Active Duty (any copy that shows all dates of service, as well as character of service [Honorable, General, etc.] is acceptable) OR a VA letter that shows dates of service or service connected disability AND character of service. If you have more than one DD-214 for multiple periods of active duty service, submit a copy for each period of service. If you were issued a DD-215 to amend aforementioned information on the DD-214 you must submit that too. If you are not sure of your preference eligibility, visit the Department of Labor's website: Veterans' Preference Advisor
Are you a disabled veteran or claiming 10-point veterans' preference?
If you are eligible to claim 10 point veterans preference you must submit a DD-214 Certificate of Release or Discharge from Active Duty as described above for 5-point preference.
You must also provide the applicable supporting documentation of your disability (e.g. disability letter from the VA) as described on Standard Form-15 (SF-15). _fill/SF15.pdf .
Are you an active duty service member? Active Duty Service Members are required to submit a statement of service printed on command letterhead and signed by the command. The statement of service must provide the branch of service, rate/rank, all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.).
Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents contain personal information such as SSN and DOB and some documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove said personal information before you submit your application. You must provide an un-sanitized version of the documents if you are selected.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. - How to Apply
Interested Applicants must submit resumes/application packages to:
*Please include the Announcement Number (DE-12373421-24-AND) and location preference in the subject line of your application email.
Facsimile applications will not be considered.
All resumes/applications must be received no later than the close date of this flyer.
It is the applicant's responsibility to verify that all information in their resume and documents, are received, legible, and accurate. HR will not modify answers/documents submitted by an applicant.
Failure to submit a complete application package will result in an ineligible rating and loss of consideration.
Agency contact information
Andrea Freeman
Phone
Email
Address
NAV FACILITIES ENGINEERING COMMAND SE
Naval Air Station Bldg 903
PO Box 30
Jacksonville, FL 32212-0030
US
Learn more about this agency
Next steps
Qualified applicants will be referred to the hiring manager. The selecting official may choose to conduct interviews.
Our evaluation will be based on the information you provide. You should expect that we will verify performance, suitability, and security information and take that information into account in making employment offers. - Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
- Equal Employment Opportunity (EEO) Policy
- Reasonable accommodation policy
- Financial suitability
- Selective Service
- New employee probationary period
- Signature and false statements
- Privacy Act
- Social security number request
A complete resume is required. Your resume must show relevant experience, job title, duties and accomplishments. Your resume must show complete information for each job entry to support minimum qualifications. The following information should be provided in your resume, but it is acceptable to provide elsewhere in your application package: employer's name, starting and end dates (Mo/Yr), hours per week, and pay plan, series and grade level (e.g. GS-0201-09) for relevant federal experience.TIP: A good way to ensure you include all essential information is to use the Resume Builder in USAJOBS to create your resume.
Are you claiming membership in any professional organizations, or possession of a license, certificate or credentials? Check the Conditions of Employment section above to see if any are required. If you claim membership, license, certification, or credentials, you must submit a copy of said document in your application package.
Are you using education as a substitute for some or all of the experience requirement? Is there a basic education requirement for this position? Check the Education section above to see what is allowed and what is required. Any claims you make in your resume or assessment questionnaire regarding education or degrees MUST be supported by submitting with your application official or unofficial transcripts or a list of courses, grades earned, completion dates, and quarter and semester hours earned issued from your school. While unofficial transcripts are acceptable for initial application, an official transcript will ultimately be required if you are selected for the position. You may submit a copy your degree(s) if specific coursework does not have to be verified.
Are you a veteran claiming 5-point veterans' preference or claiming sole survivorship preference? You must submit a copy of your latest DD-214 Certificate of Release or Discharge from Active Duty (any copy that shows all dates of service, as well as character of service [Honorable, General, etc.] is acceptable) OR a VA letter that shows dates of service or service connected disability AND character of service. If you have more than one DD-214 for multiple periods of active duty service, submit a copy for each period of service. If you were issued a DD-215 to amend aforementioned information on the DD-214 you must submit that too. If you are not sure of your preference eligibility, visit the Department of Labor's website: Veterans' Preference Advisor
Are you a disabled veteran or claiming 10-point veterans' preference?
If you are eligible to claim 10 point veterans preference you must submit a DD-214 Certificate of Release or Discharge from Active Duty as described above for 5-point preference.
You must also provide the applicable supporting documentation of your disability (e.g. disability letter from the VA) as described on Standard Form-15 (SF-15). _fill/SF15.pdf .
Are you an active duty service member? Active Duty Service Members are required to submit a statement of service printed on command letterhead and signed by the command. The statement of service must provide the branch of service, rate/rank, all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.).
Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents contain personal information such as SSN and DOB and some documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove said personal information before you submit your application. You must provide an un-sanitized version of the documents if you are selected.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
Interested Applicants must submit resumes/application packages to:
*Please include the Announcement Number (DE-12373421-24-AND) and location preference in the subject line of your application email.
Facsimile applications will not be considered.
All resumes/applications must be received no later than the close date of this flyer.
It is the applicant's responsibility to verify that all information in their resume and documents, are received, legible, and accurate. HR will not modify answers/documents submitted by an applicant.
Failure to submit a complete application package will result in an ineligible rating and loss of consideration.
Agency contact information
Andrea Freeman
Phone
Email
Address
NAV FACILITIES ENGINEERING COMMAND SE
Naval Air Station Bldg 903
PO Box 30
Jacksonville, FL 32212-0030
US
Learn more about this agency
Next steps
Qualified applicants will be referred to the hiring manager. The selecting official may choose to conduct interviews.
Our evaluation will be based on the information you provide. You should expect that we will verify performance, suitability, and security information and take that information into account in making employment offers.
Fair & Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
- Equal Employment Opportunity (EEO) Policy
- Reasonable accommodation policy
- Financial suitability
- Selective Service
- New employee probationary period
- Signature and false statements
- Privacy Act
- Social security number request
- 18 Days Ago
IT SPECIALIST (SYSADMIN/NETWORK)
- US Naval Facilities Engineering Systems Command
-
Key West, FL
FULL_TIME
- Duties You will administer the installation, testing, operation, troubleshooting, and maintenance of hardware and software systems in support of the NAVFAC organization's Information Management / Info...
- 19 Days Ago
Emergency PreKindergarten Provider - A.A.
- Monroe County School District
-
Key West, FL
FULL_TIME
- JobID: 3422 Position Type: Head Start/Pre-Kindergarten Date Posted: 3/10/2022 Location: Gerald Adams Elementary School (PK-5) GAE Key West Date Available: 03/14/2022 Closing Date: Open Until Filled
- 20 Days Ago
Child Care Provider/Babysitter
- Sit'n In The Keys
-
Key West, FL
PART_TIME
- Now Hiring Join Our Team! Contact Michelle For An InterviewSubmit Your Resume or call to set up an appointment. (305) 907-6753 All of our qualified child care providers are properly vetted with backgr...
- 11 Days Ago
Travel Nurse RN
- Health Advocates Network - Southeast
-
Key West, FL
FULL_TIME
- Health Advocates Network - Southeast is seeking a travel nurse RN Med Surg for a travel nursing job in Key West, Florida.Job Description & RequirementsSpecialty: Med SurgDiscipline: RNStart Date: 04/0...
- Just Posted
Coax Splicing Supervisor
- MasTec Network Solutions
-
Hialeah, FL
FULL_TIME
- OverviewMasTec Communications Group gives you the opportunity to utilize your Coax Splicing expertise to make an immediate impact on your team while creating and maintaining the local telecom infrastr...
- 5 Days Ago
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0 PROVIDER NETWORK MANAGER jobs found in Hialeah, FL area
Store Manager
- Pet Supermarket
-
Hialeah, FL
- If you are looking to join one of the largest retail operations dedicated to providing Pet Parents with the best selecti...
- 4/23/2024 12:00:00 AM
KFC General Manager
- KFC
-
Hialeah, FL
- Restaurant General Manager Job Description Join the Fulenwider KFC/Taco Bell family and find a great career, because thi...
- 4/23/2024 12:00:00 AM
Management Trainee
- South Shore Specialized Marketing
-
Hialeah, FL
- Job Description Job Description Was the growth potential in your position 86’d like last week’s special? Tired of sellin...
- 4/23/2024 12:00:00 AM
Branch Operations Manager
- Lennox International
-
Hialeah, FL
- Company Overview Lennox National Account Services (NAS), wholly owned by Lennox International, a 120+ year old company a...
- 4/22/2024 12:00:00 AM
Wood Department Manager
- Floor & Decor Holdings, Inc.
-
Hialeah, FL
- PURPOSE Responsible for achieving sales budgets and providing an exceptional shopping experience to every customer throu...
- 4/21/2024 12:00:00 AM
General Manager
- PF Miami Developers LLC
-
Hialeah, FL
- Job Type Full-time Description We are seeking an experienced and enthusiastic General Manager to join our team. The Gene...
- 4/20/2024 12:00:00 AM
End Point Configuration Lead
- General Dynamics Information Technology
-
Doral, FL
- Work Location: Onsite - Doral, FL (No telecommuting option) Clearance: Top Secret (SCI eligible) Shift: 8am-4pm (After h...
- 4/19/2024 12:00:00 AM
Vendor Support Representative
- NSD NEWCO
-
Boca Raton, FL
- Description Description Description Position Summary: Vendor Support Representatives are responsible to ensure that all ...
- 4/19/2024 12:00:00 AM
About Hialeah, Florida
Hialeah ( /ˌhaɪəˈliːə/) is a city in Miami-Dade County, Florida, United States. With the population of 239,673 at the 2018 United States Census, Hialeah is the sixth-largest city in Florida. It is a principal city of the Miami metropolitan area, which was home to an estimated 6,012,331 people at the 2015 census. It is located west-northwest of Miami, and is the only place in the county, other than Homestead, Florida, to have its own street grid numbered separately from the rest of the county (which is otherwise based on Miami Avenue at Flagler Street in downtown Miami, the county seat).
Hialea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$103,476 to $129,649
Hialeah, Florida area prices
were up 2.9% from a year ago
were up 2.9% from a year ago
What does a PROVIDER NETWORK MANAGER do?
PROVIDER NETWORK MANAGER in Lafayette, LA
NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
December 25, 2019
PROVIDER NETWORK MANAGER in Saginaw, MI
A crucial part of this effort is educating our providers about our plans, particularly our insurance benefits and workers’ compensation plans, and how to navigate the claims process for each one.
February 21, 2020
PROVIDER NETWORK MANAGER in Elkhart, IN
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
January 03, 2020