PROVIDER NETWORK MANAGER jobs in Honolulu, HI

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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Manager, Provider Operations - Provider Call Center Liaison
  • HMSA
  • Honolulu, HI FULL_TIME
    1. Direct and oversee all aspects of the Provider Call Center, in alignment with corporate goals and initiatives. Manages, oversees, and evaluates staff.
    2. Ensure Provider Call Center performance meets/exceeds Key Performance Indicators by evaluating, analyzing, and interpreting data and metrics. Report on or supervise reporting of KPI metrics.
    3. Ensure cross-functional collaboration and partnerships are developed and maintained in support of functional alignment.
    4. Lead, manage, or direct and coordinate projects that directly impact the Provider Call Center.
    5. Collect, analyze, and utilize data and feedback to identify opportunities to improve the relationship between the business and HMSA's provider network.
    6. Contribute to the ongoing design, development, and implementation of key core systems utilized by the Provider Call Center.
    7. Effectively work with vendor and HMSA staff to resolve claim issues/inquiries accurately at first contact from stakeholders. Maintain ongoing audit program to ensure quality.
    8. Respond to provider escalations received via the Provider Call Center as needed.
    9. Perform all other miscellaneous responsibilities and duties as assigned or directed.

     

  • 15 Days Ago

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Manager III - OSP Network
  • Hawaiian Telcom Inc
  • Honolulu, HI FULL_TIME
  • Job Purpose: This position is responsible for managing outside plant (OSP) engineering activities for strategic projects and initiatives, maintenance activities and underground infrastructure. This po...
  • 1 Month Ago

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Network Contracting Manager
  • AlohaCare
  • Honolulu, HI FULL_TIME
  • Apply on line at http://www.alohacare.org/Careers/Default.aspx The Company: AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehe...
  • 21 Days Ago

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Network Contracting Manager
  • AlohaCare
  • Honolulu, HI FULL_TIME
  • Apply on line at http://www.alohacare.org/Careers/Default.aspx The Company: AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehe...
  • 21 Days Ago

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Security Guard
  • Resident Manager AOAO
  • Honolulu, HI FULL_TIME
  • Job description Resident Manager AOAO is looking for a Security Guard to join our team in Honolulu, HI. Position Overview: The Security Guard will be responsible for maintaining a safe and secure envi...
  • 10 Days Ago

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Pulmonologist
  • Provider Solutions & Development
  • Honolulu, HI FULL_TIME
  • Aspire to serve a medically diverse patient population as a full-time ambulatory Pulmonologist with The Queens Health Systems in Honolulu, Hawaii, located on the island of Oahu. Team seeking a provide...
  • 16 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Honolulu, HI area

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Project Manager
  • Bishop & Company, Inc.
  • Honolulu, HI
  • Bishop & Company Our client is seeking a seasoned Project Manager to join their expanding Construction Management/Engine...
  • 5/19/2024 12:00:00 AM

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Buger King Shift Supervisor/Assistant Manager
  • Burger King
  • Honolulu, HI
  • Our Burger King franchise is looking for responsible, experienced Managers to lead our Crew and ensure that we consisten...
  • 5/19/2024 12:00:00 AM

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Head of Partnerships - Remote, US
  • Navient
  • Honolulu, HI
  • Navient Head of Partnerships - Remote, US Honolulu , Hawaii Apply Now Earnests mission is to make higher education acces...
  • 5/19/2024 12:00:00 AM

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Operations Manager (HR)
  • Benefit & Risk Management Services, Inc.
  • Honolulu, HI
  • Job Description Job Description People Operations Manager JOB summary: We are looking for a passionate and driven People...
  • 5/19/2024 12:00:00 AM

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Assistant Safety Superintendent
  • Pacific Shipyards International
  • Honolulu, HI
  • Job Description Job Description Position Title: Assistant Safety Superintendent (NEW) Reports To: Safety Superintendent ...
  • 5/19/2024 12:00:00 AM

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GENERAL MANAGER
  • Springboard Hospitality
  • Honolulu, HI
  • Job Details Job Location Pacific Monarch - Honolulu, HI Salary Range $130,000.00 - $150,000.00 Salary Description About ...
  • 5/18/2024 12:00:00 AM

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H&M Store Manager
  • H&M Group
  • Honolulu, HI
  • Company Description Job Description Overall Job Summary: TheStore Manager is responsible for reaching the Sales and Prof...
  • 5/18/2024 12:00:00 AM

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Manager (Kahala R210)
  • Apple
  • Honolulu, HI
  • As a Manager, you're responsible for inspiring your team to create ownership opportunities for customers on the sales fl...
  • 5/17/2024 12:00:00 AM

Honolulu (/ˌhɒnəˈluːluː/; Hawaiian: [honoˈlulu]) is the capital and largest city of the U.S. state of Hawaiʻi. It is an unincorporated part of and the county seat of the City and County of Honolulu along the southeast coast of the island of Oʻahu.[a] The city is the main gateway to Hawaiʻi and a major portal into the United States. The city is also a major hub for international business, military defense, as well as famously being host to a diverse variety of east-west and Pacific culture, cuisine, and traditions. Honolulu is the most remote city of its size in the world and is the westernmost...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$112,242 to $140,631
Honolulu, Hawaii area prices
were up 1.9% from a year ago

PROVIDER NETWORK MANAGER in Lafayette, LA
NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
December 25, 2019
PROVIDER NETWORK MANAGER in Saginaw, MI
A crucial part of this effort is educating our providers about our plans, particularly our insurance benefits and workers’ compensation plans, and how to navigate the claims process for each one.
February 21, 2020
PROVIDER NETWORK MANAGER in Elkhart, IN
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
January 03, 2020