PROVIDER NETWORK MANAGER jobs in Wisconsin
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)
Recently Added PROVIDER NETWORK MANAGER jobs
Provider Network Manager - must be located in the Green Bay or Milwaukee, WI areas
- Devoted Health Services, Inc
-
Wisconsin, WI
FULL_TIME
- At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Job Description A bit about this role: This is a key in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5 years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited. Responsibilities will include: Development, maintenance and management of an adequate provider network in assigned geographical area Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance Monitoring of various reports to insure all necessary compliance requirements are met and maintained Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis Support of overall Network Team as required to achieve success for Devoted Health Supporting the overall Network Team as required to achieve success for Devoted Health Supporting assigned groups to improve performance in CMS STAR measures Attributes to success: Ability to make quick, independent decisions Mutually beneficial negotiation skills Strong project management skills Attention to detail Ability to analyze financial and performance reports and identify trends/variances“Big Picture” thinking...Understanding impacts of decisions on network as a whole Extremely effective oral/written communication skills Desired skills and experience: 5 years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk Provider servicing experience Solid ability to navigate either Google or MS Suite of products High School Diploma or equivalent minimum Experience in CMS STAR measures Experience and relationships in the local market Unrestricted driver's license to verify your eligibility and capability to fulfill the driving responsibilities associated with the position Salary range: $57,000 - $120,000 year Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity). Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.
- 4 Days Ago
Respite Provider
- Consumer Direct Care Network
-
Fairchild, WI
PART_TIME
- Do you love helping people? Do you love working with youth and families? Are you compassionate, reliable and have great communication skills? Are you honest, trustworthy, patient and a good role model...
- 7 Days Ago
Respite Provider
- Consumer Direct Care Network
-
Eau Claire, WI
PART_TIME
- Do you love helping people? Do you love working with youth and families? Are you compassionate, reliable and have great communication skills? Are you honest, trustworthy, patient and a good role model...
- 7 Days Ago
Respite Provider
- Consumer Direct Care Network
-
Black River, WI
PART_TIME
- Do you love helping people? Do you love working with youth and families? Are you compassionate, reliable and have great communication skills? Are you honest, trustworthy, patient and a good role model...
- 7 Days Ago
Respite Provider
- Consumer Direct Care Network
-
Altoona, WI
PART_TIME
- Do you love helping people? Do you love working with youth and families? Are you compassionate, reliable and have great communication skills? Are you honest, trustworthy, patient and a good role model...
- 7 Days Ago
Adult Respite Provider - ABW
- Consumer Direct Care Network
-
Eau Claire, WI
PART_TIME
- RESPITE PROVIDER NEEDED! Eau Claire, WI Seeking an individual to provide respite for an adult female within YOUR home in Eau Claire! FEMALES ENCOURAGED TO APPLY! WAGE $23.00/Hour SCHEDULE 1 Evening/we...
- 11 Days Ago
PROVIDER NETWORK MANAGER jobs at Popular Companies
Provider Network Manager
- Elevance Health
-
San Francisco, CA
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/19/2024 12:00:00 AM
Provider Network Manager
- Elevance Health
-
Rancho Cordova, CA
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/19/2024 12:00:00 AM
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
Associate Provider Network Manager
- IASIS Healthcare
-
Westwood, MA
- Associate Provider Network ManagerClick Here to Apply OnlineJob DescriptionLocation: Steward Health Care NetworkPosted D...
- 4/18/2024 12:00:00 AM
Sr Provider Network Manager (MSO/PCP) (Must Reside in Florida)
- Idaho State Job Bank
-
Boise, ID
- Sr Provider Network Manager (MSO/PCP) (Must Reside in Florida) at Evolent Health in Boise, Idaho, United States Job Desc...
- 4/18/2024 12:00:00 AM
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
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
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
About Wisconsin
Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast.
With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$106,383 to $133,291
Most Popular Cities in Wisconsin for PROVIDER NETWORK MANAGER Jobs
What does a PROVIDER NETWORK MANAGER do?
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