PROVIDER NETWORK MANAGER jobs in the United States

PROVIDER NETWORK MANAGER manages the network of healthcare providers to ensure effective operations and coverage of services. Researches and collects information to evaluate healthcare providers and assist with network development. Being a PROVIDER NETWORK MANAGER manages, reviews, and renews contracts with healthcare providers, evaluating terms, expectations, and compliance with organizational policies and regulatory requirements. Facilitates positive relations with providers, acting as a primary point of contact, resolving questions and concerns, and providing support and resources to ensure services meet standards. Additionally, PROVIDER NETWORK MANAGER recruits, hires, and trains staff and oversees credentialing. Requires a bachelor's degree. Typically reports to a director. The PROVIDER NETWORK 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 NETWORK 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. (Copyright 2024 Salary.com)

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Clinical Operations Manager
  • TPN.health (Trusted Provider Network)
  • Orleans, LA FULL_TIME
  • Clinical Operations Manager

    The Position:

    The Clinical Operations Manager is responsible for the structure and operations of the Clinical Department. This includes the curation of proprietary Continuing Education produced by TPN.health along with fulfilling partner contracts for courses and events developed under the approved TPN.health accreditations. Managing the clinical department and handling day to day operations to ensure company goals are being met.

    Clinical Department Overview:

    The Clinical Department is responsible for maintaining the ethical integrity of the TPN.health platform, including its network, features, and users. This encompasses oversight of the Continuing Education (CE) program, all related accreditation, user policies and procedures, as well as fostering relationships with clinicians and educators. The department's primary function is to oversee the educational output, working closely with team members to identify and address any gaps in execution and to streamline the education delivery process.

    Additionally, the Clinical Department manages the identification, sourcing, and coordination of external CE speakers for TPN.health events. The Director will lead this initiative, with support from both internal and external clinical resources.

    Responsibilities:

    • Plan, execute, and oversee projects within the department, ensuring they are completed on time, within scope, and budget.
    • Regularly evaluate employee performance, provide constructive feedback, and implement development plans to foster growth and improvement.
    • Lead, motivate, and support a diverse team to achieve departmental and organizational goals.
    • Participates in the development, drafting, proofreading, editing, review, and implementation of user policies and procedures.
    • Manages the clinical dimension of the TPN.health CE program.
    • Monitors and reviews the standards of credentialing associations.
    • Reviews proposed CE events for compliance with the above standards.
    • Provides final approval for CE events.
    • Oversees the renewal process for credentialing.
    • Oversees the development and maintenance of all credentialing records and the audit response process.
    • Reviews evaluation responses to determine the quality of CE events and educators.
    • Submits regular reports to necessary TPN.health staff.
    • Maintains and updates the database of interstitial licensing requirements, scopes of practice, and pertinent laws & regulations.
    • Contributes to the development and implementation of policy regarding user onboarding.

    Skills:

    • Time management skills with a proven ability to meet deadlines.
    • Demonstrated understanding of ethics and the intersections of law, ethics, and clinical practice.
    • Demonstrated understanding of the role and applicability of continuing education to sound clinical practice.
    • Exceptional verbal and written communication skills.
    • Ability to learn new technological solutions quickly.
    • Excellent organizational skills and attention to detail.
    • Strong analytical and problem-solving skills.
    • Ability to prioritize tasks and to delegate them when appropriate.
    • Proficient with Google Suite.
    • Ability to analyze and resolve ethical dilemmas.

    Education and Experience:

    • A graduate degree in a behavioral health profession (ex. Mental Health Counseling, Social Work, Psychology).
    • A valid Behavioral/Mental Health license in good standing with the relevant licensing board.
    • At least three (3) years of professional experience in a behavioral health setting.
    • Experience in policy review, quality assurance, or related duties.

    The Company:

    TPN.health is a digital platform linking behavioral health professionals, treatment facilities, hospitals, and employee wellness programs. Founded in 2019, we are a rapidly growing healthcare technology startup based in New Orleans, LA that aims to improve patient outcomes using technology to enable better clinically matched care. For more information, visit:

    The Location:

    TPN.health is based in the Central Business District of New Orleans, LA. Our office is located at 650 Poydras Street, close to the streetcar and very bikeable. We offer parking.

    Why Should You Apply?

    • We believe in work-life balance, and offer generous vacation, sick, and mental health days. We work a 4.5 day workweek.
    • Hybrid remote schedule.
    • Generous health care benefits after 30-days of employment.
    • We work cohesively to build our company and its culture.
    • You want to make a difference in the behavioral health industry and are passionate about technology and the power of disruptive startups.

    TPN.HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER AND PROHIBITS DISCRIMINATION AND HARASSMENT OF ANY KIND.

    We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status. We do not tolerate discrimination or harassment based on any of these characteristics.

    **No recruiters, please.**

    Job Type: Full-time

    Pay: $67,500.00 - $82,500.00 per year

    Benefits:

    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Life insurance
    • Parental leave
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work Location: Hybrid remote in New Orleans, LA 70130

  • 2 Months Ago

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Field Inspection Manager
  • Disability Service Provider Network
  • Madison, WI FULL_TIME
  • Disability Service Provider Network (DSPN) is seeking an experienced person to become part of our dynamic and growing association. We represent the interests of disability service providers for both r...
  • 2 Months Ago

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Manager, Provider Network Operations
  • Santa Clara Family Health Plan
  • San Jose, CA FULL_TIME
  • Manager, Provider Network Operations Salary Range: $122,529 - $189,920The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FL...
  • 2 Months Ago

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Provider Network Development Manager
  • Better-Health-Group
  • TBD, GA FULL_TIME
  • Overview Our mission is Better Health. Our passion is helping others.What's Your Why?• Are you looking for a career opportunity that will help you grow personally and professionally?• Do you have a pa...
  • 2 Months Ago

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Provider Network Development Manager
  • Better-Health-Group
  • TBD, FL FULL_TIME
  • Overview Our mission is Better Health. Our passion is helping others.What's Your Why?• Are you looking for a career opportunity that will help you grow personally and professionally?• Do you have a pa...
  • 2 Months Ago

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Provider Network Manager Sr
  • The Elevance Health Companies, Inc.
  • TOPEKA, KS OTHER
  • Anticipated End Date:2024-09-11Position Title:Provider Network Manager SrJob Description:Location: Primarily work from home , must go on-site 1 time per week . Candidate must be located within 50 mile...
  • 2 Months Ago

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Head of Executive Compensation, P&C Business Operations & Strategy
  • Zayo Group, LLC
  • Ashburn, VA
  • Company Description Zayo provides mission-critical bandwidth to the world's most impactful companies, fueling the innova...
  • 11/1/2024 12:00:00 AM

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Associate Asset Manager
  • Digital Realty
  • Ashburn, VA
  • Job Description Position Title: Associate Market Manager Location: Ashburn, VA Your role The Associate Market Manager ro...
  • 11/1/2024 12:00:00 AM

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Cross Country, Head Coach (SY 2024-2025)
  • Loudoun County Public Schools
  • Ashburn, VA
  • Job Overview High school Briar Woods Cross Country coaching position. Season runs Fall, August - November Roles and Resp...
  • 11/1/2024 12:00:00 AM

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Provider Network Account Executive
  • Enlightened, Inc.
  • Washington, DC
  • ***NOW HIRING*** PROVIDER NETWORK ACCOUNT EXECUTIVE (Washington, DC) - Washington, DC Residents Strongly Encouraged to A...
  • 10/31/2024 12:00:00 AM

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MANAGER TRAINEE
  • AutoZone, Inc.
  • Ashburn, VA
  • The Manager in Training (MIT) position is expected to be a short-term transitional role that provides both work assignme...
  • 10/30/2024 12:00:00 AM

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Director - Utility Engagement
  • Quality Technology Services, LLC
  • Ashburn, VA
  • Learn what makes QTS a unique place to grow your career! (https://vimeo.com/727409140/ff26de87d4) The **Director, Utilit...
  • 10/30/2024 12:00:00 AM

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CLOUDHQ - Electrical Commissioning Manager
  • CloudHQ LLC
  • Ashburn, VA
  • Job Type Full-time Description Who We Are Our purpose at CloudHQ is to provide flexible, efficient and resilient data ce...
  • 10/29/2024 12:00:00 AM

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Relationship Manager - Ashburn, VA
  • Fidelity TalentSource LLC
  • Ashburn, VA
  • Job Description: Relationship Manager As a Relationship Manager, you will be facilitating relationships with Fidelity s ...
  • 10/29/2024 12:00:00 AM

Income Estimation for PROVIDER NETWORK MANAGER jobs
$112,493 to $145,199