PROVIDER NETWORK MANAGER jobs in Lansing, MI

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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Contract & Provider Network Specialist - Finance
  • Community Mental Health Authority
  • Lansing, MI FULL_TIME
  • CMHA-CEI is a Michigan Certified Bronze Level Veteran Friendly Employer and we encourage active military service member, veterans, and their family member to apply.

    Responsibilities: Under the direction of the Contracts and Provider Network Manager, the Contract and Provider Network Specialist is responsible for communication with contract vendors, provider network, and the contracts department for the purposes of requesting information, providing information, or obtaining clarification for the establishment, execution, compliance and termination of contracts. Responsible for carrying out all activities of the department in such a manner that fulfills CMHA-CEI’s mission, policies and procedures.

    Requirements: Possession of a Bachelor’s degree in Business Administration, Public Administration, Human Services, or a related field required. Six years of experience working in contracts administration or provider network experience will be considered in lieu of education requirement on a case-by-case basis. A minimum of one year or progressive experience in healthcare, managed care, human services, or a closely related field (preferably working within provider network management) required. Must be able to accurately and effectively communicate in verbal and written form. Must have ability to maintain records, prepare reports, and generate correspondence related to the work. Must pass a State of Michigan police clearance check.

    Conditional Employment Requirements: Employment offers for this position will be contingent upon the results of a background verification and credentialing procedure consisting of: Michigan State Police clearance check, educational background check, and verification of an acceptable work history. Must pass a pre-employment 5-panel drug screen.

    To Apply: Applicants must submit an employment application. Resumes cannot be substituted for the employment application. CMHA-CEI’s promotion of diversity is fueled by the desire to seek equality of opportunity for all persons. CMHA-CEI is an Equal Opportunity Employer and a Drug Free Workplace.

    Salary/Hours: Starting salary $21.74 - $25.29 per hour, 40 hours per week.

    Location: Finance Department, Lansing, MI.

  • 1 Month Ago

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24-10466 Contract & Provider Network Specialist - Finance
  • CMHA Candidate Experience Site
  • Lansing, MI FULL_TIME
  • CMHA-CEI is a Michigan Certified Bronze Level Veteran Friendly Employer and we encourage active military service member, veterans, and their family member to apply. Responsibilities: Under the directi...
  • 1 Month Ago

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Strategy Manager
  • Michigan College Access Network
  • Lansing, MI FULL_TIME
  • Job Title: HEI Strategy Manager Reports to: Director of Higher Education Innovation Employment Type: Full-Time, Monday-FridayLocation: Lansing, Mich: In-PersonApplication Deadline: Open until filled; ...
  • 5 Days Ago

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Departmental Analyst 9-P11
  • State Administrative Manager 15
  • Lansing, MI FULL_TIME
  • Salary $23.90 - $37.46 Hourly Location Lansing, MI Job Type Permanent Full Time Job Number CFMO-24-110 Department Military and Veterans Affairs Opening Date 04/15/2024 Closing Date 4/29/2024 11:59 PM ...
  • Just Posted

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MSW Care Manager
  • Hope Network Neuro Rehabilitation
  • East Lansing, MI FULL_TIME
  • MSW Care Manager We are helping people overcome. Join us. Each year at Hope Network, 2,800 talented professionals serve individuals across 280 unique locations. Some serve by providing hands-on care o...
  • 12 Days Ago

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Office Coordinator - Mobile Home Community
  • ParkLand Ventures, Inc. (MHP Manager LLC)
  • Perry, MI FULL_TIME
  • Local multi-family property owner is seeking an exceptional person to join our team as a Full -Time Property Leasing Coordinator. We are looking for an energetic person with an outgoing attitude and s...
  • 5 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Lansing, MI area

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Local Coordinator for High School foreign Exchange Student Program
  • Greenheart Exchange
  • East Lansing, MI
  • Job Description Job Description By becoming a Greenheart Exchange Local Coordinator, you have the opportunity to change ...
  • 4/26/2024 12:00:00 AM

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General Manager
  • Checkers and Rally's
  • Lansing, MI
  • PURPOSE OF YOUR WORK At Checkers & Rally's we make a difference in people's lives by serving our Franchisees, Teams, and...
  • 4/26/2024 12:00:00 AM

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Senior Executive Director
  • Michigan Education Association
  • East Lansing, MI
  • APPLICATION: Please email a cover letter and resume or CV that demonstrates your accomplishments and qualifications Plea...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • SET SEG
  • East Lansing, MI
  • Title: Project Manager Reports To: Associate Executive Director Department: Executive SET SEG is seeking a Project Manag...
  • 4/24/2024 12:00:00 AM

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Traffic/Project Manager (West Coast Hours)
  • System One
  • Lansing, MI
  • Traffic/Project Manager (West Coast Hours) Employment Type: Full Time Date Posted: 4/2/2024 Location: Remote Pay Range: ...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • SET SEG
  • East Lansing, MI
  • Title: Project Manager Reports To: Associate Executive Director Department: Executive SET SEG is seeking a Project Manag...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • Set Seg
  • East Lansing, MI
  • Title: Project Manager Reports To Associate Executive Director Department: Executive SET SEG is seeking a Project Manage...
  • 4/22/2024 12:00:00 AM

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Manager
  • Trillium Staffing
  • Lansing, MI
  • Manager position available in the Lansing, Michigan Area. Direct hire opportunity working at our client location. Salary...
  • 4/22/2024 12:00:00 AM

Lansing /ˈlænsɪŋ/ is the capital of the U.S. state of Michigan. It is mostly in Ingham County, although portions of the city extend west into Eaton County and north into Clinton County. The 2010 Census placed the city's population at 114,297, making it the fifth largest city in Michigan. The population of its Metropolitan Statistical Area (MSA) was 464,036, while the even larger Combined Statistical Area (CSA) population, which includes Shiawassee County, was 534,684. It was named the new state capital of Michigan in 1847, ten years after Michigan became a state. The Lansing metropolitan area,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,230 to $130,593
Lansing, Michigan area prices
were up 1.3% from a year ago

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