Provider Programs Manager jobs in Indianapolis, IN

Provider Programs Manager oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. Being a Provider Programs Manager reviews existing and future reimbursement policies, regulations and guidelines. Ensure competitiveness of provider network by the deployment of cost effective programs and systems that deliver results that meet cost control and quality goals of the organization. Additionally, Provider Programs Manager requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Provider Programs Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Programs Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Director of Provider Development & Contracting
  • Provider Partners Health Plan
  • Indianapolis, IN FULL_TIME
  •  
    Provider Partners is searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. The Director of Provider Development & Contracting plays a pivotal role in managing and developing relationships with healthcare providers within our network. This position is responsible for ensuring a high level of provider satisfaction and service while optimizing network performance and strategy.
     
    Key Responsibilities: 
     
    Provider Relationship Management:
    • Serve as the primary contact for healthcare providers.
    • Maintain and enhance strong, long-term relationships with providers.
    • Address and resolve provider inquiries and concerns in a timely and professional manner.
    • Conduct provider orientations and provide ongoing education on PPHP policies, procedures, and new initiatives.
    Network Development and Management:
    • Identify, recruit, and contract with new providers to expand our network.
    • Negotiate contract terms, rates, and agreements with providers.
    • Analyze network performance, identify gaps, and recommend improvements.
    • Work collaboratively with internal teams to ensure network adequacy and to develop network strategies.
    Performance Monitoring and Reporting:
    • Monitor provider performance metrics and ensure compliance with contractual and regulatory requirements.
    • Prepare and present network performance reports to senior management.
    • Evaluate provider satisfaction and recommend strategies for improvement.
    Compliance and Regulatory Adherence:
    • Ensure provider compliance with state, federal, and PPHP regulations and standards.
    • Stay abreast of changing regulatory requirements and ensure timely communication to providers and internal stakeholders.
    Project Management:
    • Lead and participate in cross-functional projects aimed at improving network performance and provider satisfaction.

    Qualifications:
    • Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred.
    • Minimum of 5-10 years of experience in healthcare network management or provider relations in the state of Indiana.
    • Strong knowledge of healthcare industry, contract negotiations, and regulatory compliance.
    • Excellent communication and interpersonal skills with the ability to build strong relationships with providers and internal teams.
    • Strong analytical and problem-solving skills.
    • Ability to manage multiple priorities in a fast-paced environment.
    • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

  • 21 Days Ago

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Senior Manager of Events and Programs
  • Conner Prairie Museum
  • Fishers, IN OTHER
  • Job Details Job Location: Conner Prairie Museum - Fishers, IN Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Travel Percentage: Negligible Job Shift: Day Job Categor...
  • 2 Days Ago

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Provider Network Manager
  • Elevance Health
  • Indianapolis, IN FULL_TIME
  • Job Family: PND > Network Contracting Type: Full time Date Posted: Apr 22, 2024 Anticipated End Date: May 24, 2024 Reference: JR113663 Description Location: Indianapolis, IN Hours: M – F Standard Work...
  • 1 Day Ago

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Network and Provider Relations Manager
  • CommuniCare Corporate
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations Manager CommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantag...
  • 9 Days Ago

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Network and Provider Relations Manager
  • CommuniCare Family of Companies
  • Indianapolis, IN FULL_TIME
  • Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
  • 10 Days Ago

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TGI FRIDAYS AGM, Keystone
  • TGI Fridays - Manager- Keystone
  • Indianapolis, IN FULL_TIME
  • Restaurant Manager Duties: - Oversee daily operations of the restaurant, including food production, to go, and catering.- Assist in managing and training staff members to ensure excellent customer ser...
  • 8 Days Ago

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0 Provider Programs Manager jobs found in Indianapolis, IN area

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Licensed Electrician (Chesapeake, VA)
  • Planate Management Group
  • Indianapolis, IN
  • Planate Management Group is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virgin...
  • 4/26/2024 12:00:00 AM

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Culinary Supervisor
  • The Westin Indianapolis
  • Indianapolis, IN
  • Property Description: The Westin Indianapolis is a prestigious downtown hotel located in the heart of Indianapolis, Indi...
  • 4/26/2024 12:00:00 AM

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Dual Event Operations Coordinator
  • White Lodging
  • Indianapolis, IN
  • Summary: The Event Coordinator provides support and assistance for Event Managers in the planning and execution of event...
  • 4/26/2024 12:00:00 AM

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Project Manager
  • Consolidated Electrical Distributors
  • Indianapolis, IN
  • Summary Job title: Project Manager Job ID: 202332890012 Department: Indianapolis - CED Location: IN-Indianapolis Descrip...
  • 4/26/2024 12:00:00 AM

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RN Manager-Utilization Review
  • Ascension Health
  • Indianapolis, IN
  • **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm + **Hospital:** Ascensio...
  • 4/26/2024 12:00:00 AM

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Assistant Resident Manager
  • The Salvation Army Central Territory
  • Indianapolis, IN
  • Job Description The Salvation Army Mission: The Salvation Army, an international movement, is an evangelical part of the...
  • 4/26/2024 12:00:00 AM

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Operations Manager
  • Epiq Systems, Inc.
  • Indianapolis, IN
  • It's fun to work at a company where people truly believe in what they are doing! Job Description: Job Position: Enterpri...
  • 4/23/2024 12:00:00 AM

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Event Planning Manager
  • The Westin Indianapolis
  • Indianapolis, IN
  • Property Description: The Westin Indianapolis is a prestigious downtown hotel located in the heart of Indianapolis, Indi...
  • 4/22/2024 12:00:00 AM

Indianapolis is in the East North Central region of the Midwestern United States, in central Indiana. According to the U.S. Census Bureau, the Indianapolis (balance) encompasses a total area of 368.2 square miles (954 km2), of which 361.5 square miles (936 km2) is land and 6.7 square miles (17 km2) is water. The consolidated city boundaries are coterminous with Marion County, with the exception of the autonomous municipalities of Beech Grove, Lawrence, Southport, and Speedway. Indianapolis is the 16th largest city by land area in the U.S. Indianapolis is within the Tipton Till Plain, a flat to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Programs Manager jobs
$103,596 to $133,818
Indianapolis, Indiana area prices
were up 1.3% from a year ago

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