PROVIDER NETWORK MANAGER jobs in New York

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 ...
  • Just Posted

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Manager, Provider Network (BMWSI) (Garden City, NY)
  • HealthCare Partners, MSO
  • Garden, NY FULL_TIME
  • HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since...
  • 5 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...
  • 12 Days Ago

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Regional Manager, HIM
  • NorthEast Provider Solutions Inc.
  • Poughkeepsie, NY FULL_TIME
  • Job Details: Job Summary: Under general supervision, an incumbent of this class is responsible for assisting in administering and directing the overall activities of the Department of Health Informati...
  • 12 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...
  • 18 Days Ago

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Provider Network Manager
  • Elevance Health
  • Costa Mesa, CA
  • Anticipated End Date: 2024-05-01 Position Title: Provider Network Manager Job Description: Location: we are targeting an...
  • 4/22/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Costa Mesa, CA
  • Location: we are targeting any of our California offices for this role, preferably Costa Mesa, CA but also open to Woodl...
  • 4/22/2024 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...
  • 4/22/2024 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...
  • 4/21/2024 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...
  • 4/20/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Walnut Creek, CA
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/20/2024 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...
  • 4/20/2024 12:00:00 AM

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • Cigna
  • Glendale, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 4/19/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$114,782 to $143,814

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