PROVIDER NETWORK MANAGER jobs in Wilmington, DE

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 Network Development and Contracting Representative
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. 


    FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for PPOs, hospital, diagnostic imagining, or PT networks is preferred though not required.  Candidates with managed care or healthcare experience are preferred. Position is available to be remote.


    Summary of Main Responsibilities:

    • Participate in the development and coordination of an extensive provider network involving in/out of state providers and facilities
    • Effectively promote and educate client’s targeted providers, explaining all aspects of the program
    • Correspond with providers to explain the recruitment process and obtain necessary information from them to complete the process
    • Assist with identifying provider network needs and opportunities
    • Collect, maintain, and distribute provider information, changes, and correspondence in client database


    FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!

  • 2 Days Ago

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Commercialization Network Manager
  • University of Delaware
  • Newark, DE FULL_TIME
  • Job no: 500655 College / VP Area: Research Office Work type: Staff Location: Newark/Hybrid Categories: Full Time, Program/Project Management PAY GRADE: 30E CONTEXT OF THE JOB: The University of Delawa...
  • 9 Days Ago

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Marketing Manager, Consumer – Respiratory Inhaled
  • 10000143 - Promotion Manager
  • Wilmington, DE FULL_TIME
  • At AstraZeneca every one of our employees makes a difference to patient lives every day. Each and every one of us believes that science has the ability to change lives and that to deliver this takes m...
  • 4 Days Ago

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Senior Provider Contracting Manager
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. FourStone Partn...
  • Just Posted

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Case Manager
  • CFG Health Network
  • Camden, NJ OTHER
  • Overview Case Management Full Time/40 Hours Weekly Population: Adolescents (10-17 years old) Location: 1000 Atlantic Avenue Camden NJ 08030 (Virtua Facility) Competitive salary & benefits package Addi...
  • 21 Days Ago

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Case Manager
  • New Behavioral Network
  • Newport, DE FULL_TIME
  • New Behavioral Network is looking for a Full Time Case Manager.New Behavioral Network has a full time position available for a Case Manager in the New Castle County area. The ideal candidate is experi...
  • 2 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Wilmington, DE area

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General Manager
  • Dogtopia
  • Wilmington, DE
  • Dogtopia, the industry leader in dog daycare, boarding, and spa services has an immediate opening for an energetic, orga...
  • 3/28/2024 12:00:00 AM

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School Building Leader (Hiring at Multiple Levels)
  • GetSelected.com
  • Wilmington, DE
  • Free job-searching + PD for educators. Find a school you love! Position Description School Building Leadership at multip...
  • 3/28/2024 12:00:00 AM

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Day Camp Unit Director- Brandywine Location
  • YMCA of Delaware
  • Wilmington, DE
  • Delaware Promise: Ensure every child is on a pathway to success Improve individual & community wellness Build bridges to...
  • 3/27/2024 12:00:00 AM

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Associate Nurse Manager- CICU
  • Nemours Children's Health
  • Wilmington, DE
  • Job Description As one of the nation's premier pediatric health care systems, we've made a promise to do whatever it tak...
  • 3/27/2024 12:00:00 AM

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Restoration Supervisor
  • SERVPRO of Brandywine/Wilmington
  • Wilmington, DE
  • Job Description Job Description SERVPRO of Brandywine/Wilmington is hiring a Restoration Supervisor! Benefits SERVPRO of...
  • 3/26/2024 12:00:00 AM

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Assistant Manager
  • Wingstop
  • Wilmington, DE
  • Wingstop's mission is to serve the world flavor. Wingstop is the destination when you crave fresh never faked wings, han...
  • 3/25/2024 12:00:00 AM

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Incident Manager
  • Saxon Global
  • Wilmington, DE
  • Role: Incident Manager Location: Wilmington, DE Onsite Contract/ Full Time 3+ years of experience as IM engineer. Review...
  • 3/25/2024 12:00:00 AM

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NA Finance Operations Technical Project Manager
  • Chubb
  • Wilmington, DE
  • Job Description The Project Manager position will report under Business Architecture, CX & Product Solutions group withi...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$112,797 to $141,328
Wilmington, Delaware area prices
were up 1.0% 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