PROVIDER NETWORK MANAGER jobs in Modesto, CA

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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Provider Recruiter, Physician & Provider Recruitment
  • Adventist Health
  • Sonora, CA FULL_TIME
  • Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

    Job Summary:

    This position is responsible for all provider recruitment functions within a designated region, including: outreach visits, conference attendance, initial contact, internet sourcing, reference checks, and building relationships with physician and APP candidates. Recruiter works in close collaboration with other recruiters, managers and provider services teams throughout Adventist Health. This position will be responsible for ensuring a continual pipeline of high quality, excellent provider candidates and maintaining provider retention strategies.

    Job Requirements:

    Education and Work Experience:

    • Bachelor’s Degree or equivalent combination of education/related experience: Preferred
    • Degree in Human Resources, Management, or health-related field: Preferred
    • Three years relevant experience: Preferred

    Licenses/Certifications:

    • Membership in AAPPR or NAPR: Preferred

    Essential Functions:

    • Responsible for all sourcing functions in account service areas including: outreach visits, advertising/marketing, initial contact, reference checks, orchestrating visits and finalizing relationships to meet provider needs for these service areas. Guides all provider recruitment activities in a manner that conforms to applicable laws. Recruits within legal and corporate guidelines. Maintains working knowledge of all service area account specific affiliated practice opportunities.
    • Attends local and national recruitment conferences. Actively sources and recruits physicians in support of all ministries (employed and private practice), in the community, including cold/warm calling prospects and candidates.
    • Sets up, facilitates and orchestrates all interviews, reference checks, FACIS, board checks, and keeping division database updated and managed properly. Maintains physician and APP retention strategies to include surveying providers regarding the recruitment process and their experience at regular intervals during their first year of practice.
    • Tracks and reports on month-end results in CRM and Applicant Tracking Systems
    • Performs other job-related duties as assigned.

    Organizational Requirements:

    Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

  • 27 Days Ago

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looking for a videographer to do a quick gig on 13th and 14th
  • Bloom Network
  • Modesto, CA FULL_TIME,PART_TIME
  • we are looking for a photographer/videographer to go to phenos dispensary to take cool promo photos and videos for 13th and 14th must be experienced and have nice portfolio Job Types: Full-time, Part-...
  • 26 Days Ago

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Childcare Provider Driver
  • Kango
  • Modesto, CA PART_TIME,CONTRACTOR
  • Job description *Competitive pay is between $18 and $35 per ride Flexible schedule (pick the rides you want when you want in the driver app!) Fixed routes are available for constant weekly earnings (b...
  • 3 Days Ago

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Recruiting & Provider Credentialing Specialist
  • Tuolumne Me Wuk Indian Health Center Inc.
  • Sonora, CA OTHER
  • Job Details Job Location: Administration - Sonora, CA Salary Range: $25.00 - $36.00 Hourly DescriptionPOSITION SUMMARY: Under the general supervision of the Human Resources Manager, the Recruiting & P...
  • 3 Days Ago

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Network Technician - Must Apply on Edjoin.org
  • Turlock Unified School District
  • Turlock, CA FULL_TIME
  • Network Technician Range 17.5 Summary of Position Under direction of the Director of Technology and Data Systems or designee, assists with a growing Local and Wide Area Network using network protocols...
  • 20 Days Ago

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NURSE PRACTITIONER / PRIMARY CARE PROVIDER
  • Triunity Software
  • Modesto, CA FULL_TIME
  • Benefits: 401(k) matching Bonus based on performance Competitive salary Dental insurance Health insurance Paid time off Stock options plan Vision insurance Title- NURSE PRACTITIONER / PRIMARY CARE PRO...
  • 18 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Modesto, CA area

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Dialysis Program Manager California
  • Encompass Health
  • Modesto, CA
  • Salary Range : $105K - 135K/annually The Dialysis Program Manager is independently responsible for directing, organizing...
  • 4/25/2024 12:00:00 AM

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Site Manager - Wastewater Treatment Operations
  • 360 Talent Avenue
  • Modesto, CA
  • Bring your skills into the future with a career in renewable energy. 360 Talent Avenue has partnered with an innovative ...
  • 4/24/2024 12:00:00 AM

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Capital Projects Manager - Transit Focused
  • Pennino Management Group
  • Modesto, CA
  • Job Description Job Description Description: Assists Principals and Senior Project Managers with delivery of multiple pr...
  • 4/24/2024 12:00:00 AM

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Chief Information Officer
  • Ralph Andersen & Associates
  • Modesto, CA
  • Client: City of Modesto, CaliforniaPosition: Chief Information OfficerClosing Date: February 26, 2024The City of Modesto...
  • 4/24/2024 12:00:00 AM

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Branch Manager
  • PNC Financial Services Group, Inc.
  • Modesto, CA
  • Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. ...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer
  • Community Hospice
  • Modesto, CA
  • Job Description Job Description At Community Hospice & Health Services you will find a family-based and compassionate wo...
  • 4/23/2024 12:00:00 AM

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EXECUTIVE DIRECTOR
  • FAMILY PROMISE OF MODESTO
  • Modesto, CA
  • Job Description Job Description We are currently looking for a new Executive Director (ED) with strong management, progr...
  • 4/23/2024 12:00:00 AM

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Operations Coordinator
  • Nutrien Ltd.
  • Modesto, CA
  • At Nutrien, our purpose is Feeding the Future and we do so with safety, inclusion, integrity and results as our core val...
  • 4/22/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$114,567 to $143,545
Modesto, California area prices
were up 2.5% 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.
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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