How to Become a Provider Network Manager
Step 1: Understand the job description and responsibilities of a Provider Network Manager
What does a Provider Network Manager do?
A 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.
The Project Manager is responsible for ensuring that every project follows the process and meets all necessary deliverables.
5+ years of experience in a network management-related role, such as contracting or provider services.
4+ years of network account management or provider contracting experience in a managed care environment.
4 experience in provider relations and contract negotiationWhat we offer.
8 years of healthcare industry sales or provider experience of which 3 were in a leadership position.
Step 2: Learn best tips to become a Provider Network Manager
Best tips for those who want to become a Provider Network Manager
Here are some tips to become a Provider Network Manager.
Check to make sure you are in Medica Service Area.
Review this important information.
Go to the appropriate online application page and fill out the form.
Network Development & Expansion Building the Best Value Provider Network.
Close-knit, collaborative team; providing excellent quality care management and UM support.
Step 3: View best colleges and universities for Provider Network Manager
Best colleges and universities for Provider Network Manager
- Butler University
- Carroll College
- Cooper Union
- High Point University
- Princeton University
- Providence College
Step 4: Think about whether is it worth to be a Provider Network Manager
Is being a Provider Network Manager Worth it?
Solicits participation in the network and conducts re-contracting efforts as needed.
May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
Requires a BA/BS degree; 2 years experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.
It houses four core pillars with a variety of everyday services to empower you to take control of your health and wellness – DA Marketplace, DA Network, DA Claims and DA Pay.
Experience carrying out administrative functions essential for managing a provider network.
Step 5: Prepare relevant skills for being a Provider Network Manager
What skills do you need to be a Provider Network Manager?
Due to the management level associted with this job, many skills are required to being successful and ensuring the success of your team. It is necessary to be able to excel with: Provider Management. As you can tell, it is no easy feat to be a manager, and the skills required reflect that.
- Requires a BA/BS in Business Administration, Healthcare Administration, or a related field; and 5-7 years of experience in a managed healthcare or hospital environment, 3+ years of experience in provider/network relations; 1-3 years of leadership/ management experience; or any combination of education and experience, which would provide an equivalent background.
- Experience developing relationships with physicians/providers is required.
- Experience with network relations, provider contracting, provider servicing and education is required.
- Knowledge of network contracting models in California.
Experience carrying out administrative functions essential for managing a provider network.
Step 6: View average salary for Provider Network Manager
How much does a Provider Network Manager make?
The average salary range for a Provider Network Manager is from $99,900 to $121,200. The salary will change depending on your location, job level, experience, education, and skills.
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Average salary for Provider Network Manager jobs
Step 7: Find relevant Provider Network Manager jobs, and apply.
Looking for Provider Network Manager jobs?
Here are some Provider Network Manager jobs in the United States.