PROVIDER NETWORK MANAGER jobs in New York

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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Senior Manager, Provider Network Operations
  • WelbeHealth
  • Brooklyn, NY FULL_TIME
  • At WelbeHealth, we’re transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those we serve.

    Through the PACE program, our Health Plan Services team is ensuring our seniors receive top quality clinical care so they can age well and live independently in their communities. Our Senior Manager, Network Operations will enable this through operational transformation on the Provider Network team. The Senior Manager, Network Operations will contribute to several high-impact projects that will result in a robust, high-performing Network for our PACE participants.

    This is a remote position with up to 15% travel. 

    Essential Job Duties:

    · Develop and oversee new execution capabilities for the department, including reporting, project management, and process and performance improvement

    · Partner cross-functionally with various leaders in all areas of the business to assist with the drive towards core operational improvements

    · Use process improvement best practices to engineer/reengineer and implement consistent organizational processes and clear engagement models

    · Influence the design and implementation of Welbe’s provider data management solution, with cross-functional data coming in across all of Health Plan Services

    Job Requirements:

    · Minimum of four (4) years of work experience in operations, health insurance, data analysis, engineering, or consulting

    · Minimum of three (3) years of experience with end-to-end healthcare project management

    · Two (2) years of supervisory experience with demonstrated aptitude to mentor and develop team members

    · Bachelor’s degree preferred, or additional four (4) years of experience in lieu of education

    Benefits of Working at WelbeHealth: Apply your operational expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

    · Medical insurance coverage (Medical, Dental, Vision) starting day one of employment

    · Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time

    · Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!

    · And additional benefits

    Salary/Wage base range for this role is $120,164.59 to $144,197.51 annually Bonus Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.  Actual pay will be adjusted based on experience and other qualifications.

  • 12 Days Ago

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Virtual Licensed Clinical Therapist (Remote/Telehealth)
  • Maven Clinic Provider Network
  • New York, NY FULL_TIME
  • Maven is looking for a mission-driven, empathetic full-time Mental Health Provider to support our members through virtual care services. As a full-time virtual provider, you will have the opportunity ...
  • Just Posted

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Reproductive Endocrinologist
  • Maven Clinic 1099 Provider Network
  • New York, NY FULL_TIME
  • Maven is looking for a mission-driven, empathetic reproductive endocrinologist to support our members through virtual care services. As a virtual provider, you will have the opportunity to meet with m...
  • 27 Days Ago

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Practice Manager
  • NorthEast Provider Solutions Inc.
  • Pomona, NY FULL_TIME
  • Job Details: Job Summary: The Practice Manager is responsible for leading and managing medical practice operations by maintaining office systems and supervising staff. The Practice Manager must mainta...
  • 16 Days Ago

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Provider Network Development Specialist
  • CINQCARE
  • New York, NY FULL_TIME
  • CINQCARENYS Provider Network Development Specialist Position Description OverviewThe Provider Network Development Specialist reports to the Director of Network Management with accountability for provi...
  • 24 Days Ago

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Provider Network Performance Coordinator
  • Centers Plan for Healthy Living/Centers Care Solutions
  • New York, NY FULL_TIME
  • JOB SUMMARY: The Provider Network Performance Coordinator is responsible for the oversight of the performance and quality of the CPHL provider network. PRIMARY RESPONSIBILITIES: Independently conducts...
  • 13 Days Ago

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Palm Beach Gardens, FL
  • **Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: ...
  • 3/28/2024 12:00:00 AM

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Regional Provider Network Manager (Midwest region)
  • Christian Care Ministry
  • Nashville, TN
  • The range for this role is $70,000 - $95,000 Actual base pay will be determined based on a successful candidate's work l...
  • 3/28/2024 12:00:00 AM

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Operations Analyst: PE (Part-Time)
  • CertifyOS
  • New York, NY
  • OPERATIONS ANALYST: Payor Enrollment Remote | USA About CertifyOS: We are on a mission to change how the US healthcare i...
  • 3/28/2024 12:00:00 AM

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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...
  • 3/27/2024 12:00:00 AM

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Sales AVP or higher - Digital and IT services - Healthcare payer sector
  • Confidential
  • Valenco Inc. (www.valencoinc.com) is an executive search company focused on sales and sales leadership roles for the tec...
  • 3/27/2024 12:00:00 AM

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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...
  • 3/26/2024 12:00:00 AM

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In-House IPA Representative
  • MedPOINT Management
  • Los Angeles, CA
  • Job Description Job Description Summary Under the general direction of the Provider Network Operations (PNO) – Network M...
  • 3/24/2024 12:00:00 AM

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Job Page
  • Arizona State Hospital
  • Phoenix, AZ
  • AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, ...
  • 3/24/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$114,634 to $143,629

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