PROVIDER NETWORK MANAGER jobs in Illinois

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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Manager Professional Provider Network
  • Health Care Service Corp.
  • Illinois, IL FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for managing, developing and maintaining harmonious working relationships with assigned providers; assigning responsibilities to team members; and training, counseling, and other supervisory responsibilities. JOB REQUIREMENTS: Bachelor’s and 5 years related experience OR 9 years of related experience At least 1 year in a management/leadership capacity Verbal and written communication skills to interact with all levels of corporate personnel and assigned providers. Demonstrated analytical abilities and proficient planning skills; negotiation skills; and ability to meet deadlines and work well under pressure. Team player/people oriented. Ability and willingness to travel PREFERRED JOB REQUIREMENTS: Strong Medicaid managed care experience Knowledge of provider data management systems ie. Salesforce, Tableau * This is a hybrid role requiring 3 days in the office and 2 days remote weekly. We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet. #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.
  • 23 Days Ago

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Manager Professional Provider Network
  • Health Care Service Corporation
  • Chicago, IL FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • 23 Days Ago

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Mobile Phlebotomy Technician
  • The National Phlebotomy Provider Network
  • Chicago, IL PART_TIME
  • Are you a great lab tech or phlebotomist looking to advance your career? Would you like to get out of the lab and work on your own?Do you like your job but hate the pay?WE HAVE THE PERFECT POSITION FO...
  • 22 Days Ago

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Field Provider Network Coordinator
  • Healthcare Support
  • Illinois, IL FULL_TIME
  • Healthcare Support is currently seeking an experienced Field Provider Network Coordinator to fill an opening with a Fortune 500 Company in Illinois. The ideal candidate will have the following require...
  • 1 Month Ago

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Provider Network Development Specialist
  • Rush University Medical Center
  • Chicago, IL FULL_TIME
  • Job Title: Provider Network Development Specialist Department: Rush Health Shift: 1st Specialty: Job Number: 2023-1695 Date Posted: 05/08/2023 Position Type: Job Qualifications: Provider Network Devel...
  • 30 Days Ago

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Network Operations Manager (Network
  • Chicago Public Schools - CPS
  • Chicago, IL OTHER
  • Chicago Public Schools (CPS) is one of the largest school districts in the United States, serving over 320,000 students in 600 schools and employing approximately 40,000 people, most of them teachers....
  • 19 Days Ago

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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...
  • 4/17/2024 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...
  • 4/16/2024 12:00:00 AM

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Salesforce Analyst
  • IntePros
  • Philadelphia, PA
  • Job Title: Junior Salesforce Developer Job Description: We are currently seeking a Junior Salesforce Developer to join o...
  • 4/15/2024 12:00:00 AM

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Dublin, OH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/15/2024 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...
  • 4/15/2024 12:00:00 AM

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Director of Quality and Innovation
  • OnPoint
  • Allegan, MI
  • Job Description Job Description Director of Quality and Innovation: OnPoint is seeking an organized, committed professio...
  • 4/14/2024 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...
  • 4/13/2024 12:00:00 AM

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Junior Developer/Tester
  • InSource, Inc
  • Philadelphia, PA
  • Junior Developer/Tester ***2 days remote/3 days onsite every week in Philadelphia-19103. DO NOT APPLY if you currently l...
  • 4/13/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$110,152 to $138,013

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