PROVIDER NETWORK MANAGER jobs in New York, NY

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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Senior Manager, Provider Network Operations
  • WelbeHealth
  • Brooklyn, NY FULL_TIME
  • At WelbeHealth, we’re transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those we serve.

    Through the PACE program, our Health Plan Services team is ensuring our seniors receive top quality clinical care so they can age well and live independently in their communities. Our Senior Manager, Network Operations will enable this through operational transformation on the Provider Network team. The Senior Manager, Network Operations will contribute to several high-impact projects that will result in a robust, high-performing Network for our PACE participants.

    This is a remote position with up to 15% travel. 

    Essential Job Duties:

    · Develop and oversee new execution capabilities for the department, including reporting, project management, and process and performance improvement

    · Partner cross-functionally with various leaders in all areas of the business to assist with the drive towards core operational improvements

    · Use process improvement best practices to engineer/reengineer and implement consistent organizational processes and clear engagement models

    · Influence the design and implementation of Welbe’s provider data management solution, with cross-functional data coming in across all of Health Plan Services

    Job Requirements:

    · Minimum of four (4) years of work experience in operations, health insurance, data analysis, engineering, or consulting

    · Minimum of three (3) years of experience with end-to-end healthcare project management

    · Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members

    · Bachelor’s degree preferred, or additional four (4) years of experience in lieu of education

    Benefits of Working at WelbeHealth: Apply your operational expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

    · Medical insurance coverage (Medical, Dental, Vision) starting day one of employment

    · Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time

    · Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!

    · And additional benefits

    Salary/Wage base range for this role is $120,164.59 to $144,197.51 annually Bonus Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.  Actual pay will be adjusted based on experience and other qualifications.

  • 1 Month Ago

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Virtual Licensed Clinical Therapist (Remote/Telehealth)
  • Maven Clinic Provider Network
  • New York, NY FULL_TIME
  • Maven is looking for a mission-driven, empathetic full-time Mental Health Provider to support our members through virtual care services. As a full-time virtual provider, you will have the opportunity ...
  • 23 Days Ago

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Manager, Managed Care
  • NorthEast Provider Solutions Inc.
  • Valhalla, NY FULL_TIME
  • Job Details: Job Summary: The Manager of Managed Care will report directly to the Vice President of Managed Care and will be responsible to lead the Managed Care Specialist and Ancillary Contractor in...
  • 8 Days Ago

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Manager, Provider Contract Network Management - NYC Market - Hybrid - Cigna Healthcare
  • The Cigna Group
  • New York, NY OTHER,FULL_TIME
  • LOCATION: HYRID position supporting the NYC market. Must reside in NY and be able to work 3 days per week in our Manhattan office. The Manager, Provider Contract Network Management serves as an integr...
  • 14 Days Ago

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Provider Network Performance Coordinator
  • Centers Plan for Healthy Living/Centers Care Solutions
  • New York, NY FULL_TIME
  • JOB SUMMARY: The Provider Network Performance Coordinator is responsible for the oversight of the performance and quality of the CPHL provider network. PRIMARY RESPONSIBILITIES: Independently conducts...
  • 13 Days Ago

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Provider Network Performance Coordinator
  • Centers Plan for Healthy Living
  • Bronx, NY FULL_TIME
  • Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance a...
  • 14 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in New York, NY area

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Director of Care Management
  • Premier Home Health Care Services, Inc
  • New York, NY
  • Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency. We currently have an opportuni...
  • 4/19/2024 12:00:00 AM

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IT Project Scheduler - 169320
  • Raise
  • New York, NY
  • Were Hiring! Our key client is hiring and looking to add an IT Project Scheduler who has experience with scheduling acti...
  • 4/19/2024 12:00:00 AM

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Temporary Supervisor - Risk Technology Consulting (Global Banks)
  • RSM Global
  • New York, NY
  • We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence...
  • 4/19/2024 12:00:00 AM

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Director of Care Management
  • Premier Home Health Care Services Inc
  • New York, NY
  • Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency. We currently have an opportuni...
  • 4/18/2024 12:00:00 AM

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Lead, Nuclear Pharmacy - $10,000 Sign-On Bonus!
  • Memorial Sloan Kettering Cancer Center
  • New York, NY
  • Pay Range: $129,500.00-$213,800.00 Company Overview: The people of Memorial Sloan Kettering Cancer Center (MSK) are unit...
  • 4/17/2024 12:00:00 AM

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School Operations Manager
  • Success Academy Charter Schools
  • New York, NY
  • Job Description Job Description Thanks for your interest in Success Academy! Running the largest, fastest-growing, and h...
  • 4/17/2024 12:00:00 AM

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STERILE PROCESSING DEPARTMENT MANAGER
  • Mohawk Valley Health System
  • New York, NY
  • ** STERILE PROCESSING DEPARTMENT MANAGER** Department: CENTRAL SUPPLY ****Job Details**** **Req Id** 61801 **Department*...
  • 4/16/2024 12:00:00 AM

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General Manager, Amyris Studios (2278)
  • Amyris, Inc.
  • New York, NY
  • **General Manager, Amyris Studios (2278)** New York City, NY / Amyris Studios Amyris Studios / Full-Time Join our team a...
  • 4/16/2024 12:00:00 AM

The City of New York, usually called either New York City (NYC) or simply New York (NY), is the most populous city in the United States. With an estimated 2017 population of 8,622,698 distributed over a land area of about 302.6 square miles (784 km2), New York is also the most densely populated major city in the United States. Located at the southern tip of the state of New York, the city is the center of the New York metropolitan area, the largest metropolitan area in the world by urban landmass and one of the world's most populous megacities, with an estimated 20,320,876 people in its 2017 M...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$125,765 to $157,575
New York, New York area prices
were up 1.6% 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