Provider Programs Manager jobs in Indiana

Provider Programs Manager oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. Being a Provider Programs Manager reviews existing and future reimbursement policies, regulations and guidelines. Ensure competitiveness of provider network by the deployment of cost effective programs and systems that deliver results that meet cost control and quality goals of the organization. Additionally, Provider Programs Manager requires a bachelor's degree. Typically reports to a manager or head of a unit/department. 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. Extensive knowledge of department processes. To be a Provider Programs Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Director of Provider Development & Contracting
  • Provider Partners Health Plan
  • Indianapolis, IN FULL_TIME
  •  
    Provider Partners is searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. The Director of Provider Development & Contracting plays a pivotal role in managing and developing relationships with healthcare providers within our network. This position is responsible for ensuring a high level of provider satisfaction and service while optimizing network performance and strategy.
     
    Key Responsibilities: 
     
    Provider Relationship Management:
    • Serve as the primary contact for healthcare providers.
    • Maintain and enhance strong, long-term relationships with providers.
    • Address and resolve provider inquiries and concerns in a timely and professional manner.
    • Conduct provider orientations and provide ongoing education on PPHP policies, procedures, and new initiatives.
    Network Development and Management:
    • Identify, recruit, and contract with new providers to expand our network.
    • Negotiate contract terms, rates, and agreements with providers.
    • Analyze network performance, identify gaps, and recommend improvements.
    • Work collaboratively with internal teams to ensure network adequacy and to develop network strategies.
    Performance Monitoring and Reporting:
    • Monitor provider performance metrics and ensure compliance with contractual and regulatory requirements.
    • Prepare and present network performance reports to senior management.
    • Evaluate provider satisfaction and recommend strategies for improvement.
    Compliance and Regulatory Adherence:
    • Ensure provider compliance with state, federal, and PPHP regulations and standards.
    • Stay abreast of changing regulatory requirements and ensure timely communication to providers and internal stakeholders.
    Project Management:
    • Lead and participate in cross-functional projects aimed at improving network performance and provider satisfaction.

    Qualifications:
    • Bachelor’s degree in healthcare administration, business, or related field required; Master’s degree preferred.
    • Minimum of 5-10 years of experience in healthcare network management or provider relations in the state of Indiana.
    • Strong knowledge of healthcare industry, contract negotiations, and regulatory compliance.
    • Excellent communication and interpersonal skills with the ability to build strong relationships with providers and internal teams.
    • Strong analytical and problem-solving skills.
    • Ability to manage multiple priorities in a fast-paced environment.
    • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

  • 12 Days Ago

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District Manager
  • District Manager
  • Elkhart, IN FULL_TIME
  • Description Using your past leadership experience, you will: Grow a portfolio of successful businesses: Develop district-level strategies to achieve each restaurant’s financial, operational and custom...
  • 2 Days Ago

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Manager, Endowed Programs
  • University of Notre Dame
  • Notre Dame, IN FULL_TIME
  • Manager, Endowed Programs University of Notre Dame The University of Notre Dame (ND.jobs) is accepting applications for a Manager, Endowed Programs. Applications will be accepted until 3/7/2023. The A...
  • 29 Days Ago

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Entry level CRA
  • Premier Provider
  • Munster, IN FULL_TIME
  • Job posted 24/02/21 Job Type: Entry level CRA - full time (Now Filled) We are seeking a Clinical Research Associate for one of our clients in the Munster area, Ireland. This is an excellent opportunit...
  • 4 Days Ago

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Associate Project Manager, Transfer Programs
  • BAXTER
  • Bloomington, IN FULL_TIME
  • This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a s...
  • 12 Days Ago

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FARM MANAGER – GAME – FM1499
  • Farm Manager SA
  • River, IN OTHER
  • Limpopo River Area – Limpopo: Our client is looking for a Farm Manager- Game to join the team. Only candidates with the relevant experience will be considered. MINIMUM REQUIREMENTS Agricultural Diplom...
  • 23 Days Ago

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ADMS / Utility Program Manager
  • Onwardpath
  • Tacoma, WA
  • ADMS / Utility program manager Program Management: Provide a full-time (40-hour work week) Program Manager for the ADMS ...
  • 4/16/2024 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...
  • 4/16/2024 12:00:00 AM

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Chief Information Security Officer
  • Faith Group, LLC
  • Los Angeles, CA
  • The Chief Information Security Officer (CISO) is a position of vital importance to the overall cyber security and safety...
  • 4/15/2024 12:00:00 AM

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GSA Program Manager
  • REI Systems
  • Sterling, VA
  • REI Systems Inc is seeking a Program Manager to support the growth and oversight of a GSA IT program(s) to serve as the ...
  • 4/14/2024 12:00:00 AM

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Program Director
  • Patrona Corporation
  • Washington, DC
  • Job Description Job Description Patrona Corporation is looking for an experienced Program Director to manage the Team Su...
  • 4/13/2024 12:00:00 AM

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Mobility Program Coordinator
  • CVR Associates, INC
  • White Plains, NY
  • Job Description Job Description The Mobility Program Coordinator will provide information and resources to the Mobility ...
  • 4/12/2024 12:00:00 AM

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Assistant Manager - QS
  • Hill Intl.
  • Job Description - Assistant Manager - QS (22000097) **Job Description** Assistant Manager - QS - ( 22000097 ) **Descript...
  • 4/12/2024 12:00:00 AM

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HCV Program Director
  • CVR Associates, INC
  • San Francisco, CA
  • Job Description Job Description The Housing Choice Voucher (HCV) Program Director is an executive level position respons...
  • 4/12/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Programs Manager jobs
$103,277 to $133,405

Provider Programs Manager in Lawrence, MA
Approved aged care service providers must use this portal to manage information about their services, manage referrals, update client records, generate reports and ask an assessor to review a client’s support plan.
February 18, 2020
Provider Programs Manager in Helena, MT
Approved aged care service providers must use the My Aged Care service provider portal.
February 24, 2020
Provider Programs Manager in Fairbanks, AK
In addition, we have intervention, prevention, and other specialty programs that provide community based services in the natural environment and other appropriate settings.
December 27, 2019