PROVIDER NETWORK MANAGER jobs in Mesa, AZ

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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Case Manager
  • Southwest Network
  • Chandler, AZ FULL_TIME
  • Join the AMAZING Southwest Network Team!

    As an employee, you will receive the following benefits:

    • This position is offered at a fair, competitive salary.
    • Affordable healthcare plans: Medical, Dental & Vision
    • Health Savings and Flex Spending account options
    • Virta diabetes program
    • Paid sick, vacation and holiday time: 10 paid holidays per year!
    • Tuition reimbursement up to $1000
    • Retirement plan (403b) with company match
    • Disability insurance
    • Basic life insurance with the option to purchase supplemental insurance
    • Employee Assistance Program
    • Employee Discounts
    • Bilingual Stipend

    OVERVIEW

    As a case manager at one of our adult outpatient clinics, you will work collaboratively with a clinical team to engage, educate and support adults living with a serious mental illness. You will coordinate their care with behavioral, medical and other providers. This will include helping them acquire and utilize skills necessary to become self-sufficient and to manage—and enjoy—their lives.

    Job Summary:

    You will participate in the assessment and development of an individualized service plan, then implement identified services, which will help members meet their needs and goals for recovery. You will partner with members to develop a role for themselves outside of their mental illness, while focusing on expected outcomes of increased employment, meaningful community activity, independent living status, and social network.

    You will also provide supportive services including, but not limited to assistance in maintaining, monitoring and modifying covered behavioral health services, interacting with the member, their family or other involved parties to maintain or enhance member functionality, and identifying necessary resources to meet members’ needs.

    Minimum Qualifications:

    • Master's or bachelor's degree in a behavioral health or related field
    • Bachelor's degree in a non-related field PLUS one-year related experience
    • Associate degree in any field PLUS one-year related experience
    • High school diploma or equivalency certificate PLUS three years' related experience
    • Must maintain current CPR, First Aid, and Therapeutic Options certifications (offered through Southwest Network)
    • Must maintain a valid Arizona driver's license and car insurance
    • Must be at least 21 years of age.
    • Must have the ability to maintain excellent member and family relationships and provide excellent customer service
    • Requires effective written, verbal, and interpersonal communication skills
    • Ability to stay organized and have critical thinking, time management and problem-solving skills are a must
    • Ability to utilize multiple types of office equipment (i.e. phones, copier, fax, etc.)
    • Ability to type 25 to 40 WPM is preferred
    • Must be proficient in Microsoft Office software
    • Must be able to utilize the internet and various web browsers

    When you consider everything—the salary, the benefits, the ongoing training and support we offer, and the impact you’ll have on the lives of others—it could be the right opportunity for you.

    Any offer of employment is contingent upon verification of education, employment, driving record and auto insurance, and completion of a criminal background check and drug testing.

    Southwest Network is an equal opportunity employer.

  • 1 Day Ago

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Network Project Manager
  • Indotronix International Corp
  • Chandler, AZ FULL_TIME
  • Job DetailsTitle:: Network Project Manager - IILocation: 6955 W Morelos PL, Chandler, AZ (AZ0014)-USADuration: 12 months Pay Range: $50-$57.96 Job Description: Wireless Interconnect Engineering Target...
  • 7 Days Ago

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Network Engineering Manager
  • Ports America Shared Services, Inc
  • Chandler, AZ FULL_TIME
  • At Ports America, the Network Engineering Manager drives the planning, design, implementation, organization, and operation of the company’s Global Network Infrastructure. Key leadership responsibiliti...
  • 8 Days Ago

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PROJECT ENGINEER/ASSISTANT PROJECT MANAGER
  • The Nations Network
  • Scottsdale, AZ FULL_TIME
  • July 21st, 2023 Based in Scottsdale, Arizona, Nations Group is a nationally recognized owner’s representation and project management firm with a history of successful projects in the higher education,...
  • 25 Days Ago

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Network Operations Center (NOC) Manager
  • SmartRent
  • Scottsdale, AZ FULL_TIME
  • Job Description We are actively seeking an experienced Network Operations Center (NOC) Manager to help establish and lead a newly formed NOC function here at SmartRent. As the NOC Manager, you will pl...
  • 1 Day Ago

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Account manager
  • CABLE SHOPPING NETWORK
  • Scottsdale, AZ FULL_TIME
  • The Cable Shopping Network, founded in 2002, is a leading provider of high-quality precious metal collectible coins and bullion. Our dedicated team serves collectors around the world. In nearly 14 yea...
  • 11 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Mesa, AZ area

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General Manager
  • Hunter Super Techs - Turnpoint
  • Arizona City, AZ
  • General ManagerSchlotzskys is looking for General Managers that want to be a key member of a growing, vibrant Brand and ...
  • 4/24/2024 12:00:00 AM

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Join Our Team - Team Leaders!
  • Advanced Micro Targeting
  • Mesa, AZ
  • Job Description Job Description Start Right Away! All Training Provided! Ever wanted to be part of something big? Join u...
  • 4/23/2024 12:00:00 AM

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Chief Financial Officer
  • Professional Recruiters
  • Mesa, AZ
  • Job Description Job Description Chief Financial Officer, Mesa, AZ The Role: We are seeking a passionate and experienced ...
  • 4/23/2024 12:00:00 AM

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Project Manager
  • IES Communications
  • Mesa, AZ
  • Residential or Cellular OSP PM experience only will not qualify for this role Job Summary: The Low Voltage Project Manag...
  • 4/22/2024 12:00:00 AM

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General Manager
  • Chick-fil-A Mesa Riverview & University at Mill
  • Mesa, AZ
  • Chick-fil-A creates the culture that businesses want to replicate. The Senior Director (GM) is a leader of leaders that ...
  • 4/22/2024 12:00:00 AM

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General Manager-Optical
  • West Point Optical LLC
  • Mesa, AZ
  • GENERAL FUNCTION: The major responsibility of the Store Manager is to drive profitable sales growth through the delivery...
  • 4/21/2024 12:00:00 AM

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Manager
  • AMC Theatres
  • Mesa, AZ
  • Job Description PREFERRED QUALIFICATIONS One year experience in guest-focused business (e.g. retail, restaurant, hospita...
  • 4/20/2024 12:00:00 AM

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Plasma Center Manager
  • Grifols
  • Mesa, AZ
  • Do you want to join an international team working to improve the future of healthcare? Do you want to improve the lives ...
  • 4/12/2024 12:00:00 AM

Mesa (/ˈmeɪsə/ MAY-sə) is a city in Maricopa County, in the U.S. state of Arizona. It is a suburb located about 20 miles (32 km) east of Phoenix in the East Valley section of the Phoenix Metropolitan Area. It is bordered by Tempe on the west, the Salt River Pima-Maricopa Indian Community on the north, Chandler and Gilbert on the south along with Queen Creek, and Apache Junction on the east. Mesa is the largest suburban city by population in the United States, the third-largest city in Arizona after Phoenix and Tucson, and the 36th-largest city overall in the US. The city is home to 496,401 pe...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$106,383 to $133,291
Mesa, Arizona area prices
were up 2.2% from a year ago

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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.
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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