Provider Programs Manager

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Provider Programs Manager manages the provider network administration function of an organization. Collects and analyzes data on program utilization, claims, and costs. Being a Provider Programs Manager reviews existing and future reimbursement policies, regulations, and guidelines. Develops and deploys cost-effective programs that provide effective services, control costs, and align with organizational objectives and competitive position. Additionally, Provider Programs Manager tracks, measures, and reports on cost-controlling activities resulting from program initiatives. Requires a bachelor's degree. Typically reports to a director. The Provider Programs Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Provider Programs Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.