PROVIDER NETWORK MANAGER jobs in Georgia

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 Relations and Network Contracting
  • Trek Healthcare, LLC
  • Atlanta, GA FULL_TIME
  • Description

    Provider Relations and Network Contracting develops the provider network through contract negotiations, relationship development, and servicing for affiliated physician groups. Primary focus of this role is identifying and recruiting providers based on network composition and needs. Deals with affiliated providers and drives and supports value base initiatives.

    The role evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Physician providers and ensuring the network composition includes an appropriate distribution of providers.

    Responsibilities

    • Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
    • Establish and maintain strong business relationships with assigned providers and internal partners
    • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
    • May assist with identifying and recruiting providers based on network composition and needs.

    Required qualifications:

    • Experience and accustomed to building brand new networks
    • Experience with direct provider contracting.
    • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
    • Experience in developing and managing key provider relationships

    Job Type: Full-time

    Pay: $60,000.00 - $75,000.00 per year

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Atlanta, GA: Relocate before starting work (Required)

    Work Location: In person

  • 22 Days Ago

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Provider Network-Ins Service Specialist
  • Quest Diagnostics
  • Atlanta, GA FULL_TIME
  • Overview Provider Network-Ins Service Specialist - Atlanta, GA - Monday to Friday 8:00 AM - 5:00 PM This position will oversee the recruiting and relationship management activities with ExamOne’s netw...
  • 1 Month Ago

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PRN Nurse Practitioner/ Flex Provider
  • Matrix Medical Network
  • Commerce, GA FULL_TIME
  • Company DescriptionMATRIX MEDICAL NETWORK is dedicated to helping in the care of Medicare Advantage plan members. Our success comes as the result of our extraordinary people, years of experience, adva...
  • 13 Days Ago

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Manager
  • Awale Network
  • Rome, GA FULL_TIME
  • A Restaurant Manager is generally responsible for providing strong, positive leadership to his/her team to deliver great and friendly guest experiences, operational excellence and for helping to build...
  • 24 Days Ago

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Cleaner
  • Aware Manager
  • Savannah, GA FULL_TIME,PART_TIME
  • CleanerWe are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition.ResponsibilitiesClea...
  • 5 Days Ago

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Dietary Manager
  • Care Network
  • Chatsworth, GA FULL_TIME
  • Qualifications: 1. Certified Dietary Manager (CDM) is a qualified supervisor certified by the Association of Food and Nutrition Professionals (ANFP) Participates annually in continuing education to ma...
  • 19 Days Ago

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Palm Beach Gardens, FL
  • **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: ...
  • 3/28/2024 12:00:00 AM

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Regional Provider Network Manager (Midwest region)
  • Christian Care Ministry
  • Nashville, TN
  • The range for this role is $70,000 - $95,000 Actual base pay will be determined based on a successful candidate's work l...
  • 3/28/2024 12:00:00 AM

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Operations Analyst: PE (Part-Time)
  • CertifyOS
  • New York, NY
  • OPERATIONS ANALYST: Payor Enrollment Remote | USA About CertifyOS: We are on a mission to change how the US healthcare i...
  • 3/28/2024 12:00:00 AM

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Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL
  • Reef Systems
  • Eglin Afb, FL
  • Service Provider Manager (SPM) (Referral Management Clerk) - Eglin AFB, FL Background/Experience : Shall read, understan...
  • 3/27/2024 12:00:00 AM

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Sales AVP or higher - Digital and IT services - Healthcare payer sector
  • Confidential
  • Valenco Inc. (www.valencoinc.com) is an executive search company focused on sales and sales leadership roles for the tec...
  • 3/27/2024 12:00:00 AM

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Operations Manager - Provider Management
  • CorVel
  • Fort Worth, TX
  • The CERIS Operations Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Qua...
  • 3/26/2024 12:00:00 AM

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In-House IPA Representative
  • MedPOINT Management
  • Los Angeles, CA
  • Job Description Job Description Summary Under the general direction of the Provider Network Operations (PNO) – Network M...
  • 3/24/2024 12:00:00 AM

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Job Page
  • Arizona State Hospital
  • Phoenix, AZ
  • AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, ...
  • 3/24/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,238 to $130,604

PROVIDER NETWORK MANAGER in Tucson, AZ
There are different Location Providers, which one is the most accurate? The GPS Provider or the Network Provider.
January 08, 2020
PROVIDER NETWORK MANAGER in Saint Louis, MO
Healthcare providers are continually struggling with the increasing pressure to cut down on patient costing, providing higher quality service, increased accessibility, etc.
January 10, 2020
PROVIDER NETWORK MANAGER in Norfolk, VA
5+ years of experience in a network management-related role, such as contracting or provider services.
February 05, 2020