PROVIDER NETWORK MANAGER jobs in Smyrna, DE

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)

F
Provider Network Development and Contracting Representative
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. 


    FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for PPOs, hospital, diagnostic imagining, or PT networks is preferred though not required.  Candidates with managed care or healthcare experience are preferred. Position is available to be remote.


    Summary of Main Responsibilities:

    • Participate in the development and coordination of an extensive provider network involving in/out of state providers and facilities
    • Effectively promote and educate client’s targeted providers, explaining all aspects of the program
    • Correspond with providers to explain the recruitment process and obtain necessary information from them to complete the process
    • Assist with identifying provider network needs and opportunities
    • Collect, maintain, and distribute provider information, changes, and correspondence in client database


    FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!

  • 6 Days Ago

U
Commercialization Network Manager
  • University of Delaware
  • Newark, DE FULL_TIME
  • Job no: 500655 College / VP Area: Research Office Work type: Staff Location: Newark/Hybrid Categories: Full Time, Program/Project Management PAY GRADE: 30E CONTEXT OF THE JOB: The University of Delawa...
  • 1 Month Ago

F
Senior Provider Contracting Manager
  • FourStone Partners
  • West Chester, PA FULL_TIME
  • FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry. FourStone Partn...
  • Just Posted

N
Case Manager
  • New Behavioral Network
  • Newport, DE FULL_TIME
  • New Behavioral Network is looking for a Full Time Case Manager.New Behavioral Network has a full time position available for a Case Manager in the New Castle County area. The ideal candidate is experi...
  • 17 Days Ago

N
Case Manager
  • New Behavioral Network
  • Wilmington, DE FULL_TIME
  • New Behavioral Network is looking for a Full Time Case Manager.New Behavioral Network has a full time position available for a Case Manager in the New Castle County area. The ideal candidate is experi...
  • 1 Month Ago

1
Associate Director, Internal Communications
  • 10000990 - Internal Communications Manager
  • Wilmington, DE FULL_TIME
  • At AstraZeneca, we believe in the power of science to change lives. As an Associate Director, Internal Communications, you'll play a pivotal role in channeling our scientific capabilities to make a po...
  • 25 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 PROVIDER NETWORK MANAGER jobs found in Smyrna, DE area

I
Call Order Program Manager, Federal Agency Contracting
  • IMSolutions, LLC
  • Dover, DE
  • Call Order Program Manager, Federal Agency Contracting Remote Full Time #1210 - Client Services Manager/Supervisor Share...
  • 4/29/2024 12:00:00 AM

S
Traffic/Project Manager (West Coast Hours)
  • System One
  • Dover, DE
  • Traffic/Project Manager (West Coast Hours) Employment Type: Full Time Date Posted: 4/2/2024 Location: Remote Pay Range: ...
  • 4/28/2024 12:00:00 AM

S
Senior Project Manager
  • Stefanini Group
  • Dover, DE
  • Details:Stefanini Group is hiring!Stefanini is looking for Senior Project Manager in Dover, DEFor quick Apply, please re...
  • 4/28/2024 12:00:00 AM

P
Manager Warehouse Management
  • Premier Inc.
  • Dover, DE
  • Manager Warehouse ManagementWhat will you be doing:The Manager, Supply Chain Management will be responsible for overseei...
  • 4/28/2024 12:00:00 AM

S
Immune-Hematology Manager, Blue Ridge
  • Sanofi Group
  • Dover, DE
  • The Immune Hematology Manager (IHM) is responsible for effectively applying promotional and selling strategies while gro...
  • 4/28/2024 12:00:00 AM

D
Director of Aviation Programs
  • Delaware State University
  • Dover, DE
  • Location : 1200 N Dupont Highway, DoverJob Type: ProfessionalJob Number: 2023-00431Division: Provost OfficeDepartment: C...
  • 4/28/2024 12:00:00 AM

C
Manager, Enterprise Services Risk Manager, Enterprise Services (ESR) DE
  • Capital One
  • Dover, DE
  • West Creek 4 (12074), United States of America, Richmond, VirginiaManager, Enterprise Services Risk Manager, Enterprise ...
  • 4/28/2024 12:00:00 AM

C
EPX Risk Leader - Enterprise Services Risk Office (ES Risk)
  • Capital One
  • Dover, DE
  • Center 3 (19075), United States of America, McLean, VirginiaEPX Risk Leader - Enterprise Services Risk Office (ES Risk)W...
  • 4/28/2024 12:00:00 AM

Smyrna is a town in Kent and New Castle counties in the U.S. state of Delaware. It is part of the Dover, Delaware Metropolitan Statistical Area. According to the Census Bureau, as of 2010, the population of the town is 10,023. The international jurist John Bassett Moore was born in Smyrna, as were politicians Louis McLane and James Williams. Smyrna is located at 39°17′59″N 75°36′17″W / 39.29972°N 75.60472°W / 39.29972; -75.60472 (39.2998339, -75.6046494). According to the United States Census Bureau, the town has a total area of 3.8 square miles (9.8 km2), of which, 3.7 square miles (9.6 km...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$112,628 to $141,116
Smyrna, Delaware area prices
were up 1.0% 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