The Provider Network Operations Manager researches and collects information to evaluate healthcare providers and assist with network development. Manages the network of healthcare providers to ensure effective operations and coverage of services. Being a Provider Network Operations Manager 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. Manages, reviews, and renews contracts with healthcare providers, evaluating terms, expectations, and compliance with organizational policies and regulatory requirements. In addition, Provider Network Operations Manager recruits, hires, and trains staff and oversees credentialing. Requires a bachelor's degree. Typically reports to a director. The Provider Network Operations 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. Working as a Provider Network Operations 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.
Provider Contracting Manager manages contracting activities for a healthcare provider network. Oversees and monitors a contracts database system for a healthcare provider network to track, monitor, and record contract data. Being a Provider Contracting Manager assists in negotiating with facilities joining the health network and setting rates. Implements reporting standards to ensure consistent recording of contract data and ensure compliance with regulatory requirements. Additionally, Provider Contracting Manager analyzes various rate scenarios to forecast and evaluate rate setting strategies and identify trends. Requires a bachelor's degree. Typically reports to a director. The Provider Contracting 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 Contracting 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.
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.
The Provider Network Contract Operations Manager oversees and monitors a contracts database system for a healthcare provider network to track, monitor, and record contract data. Manages contracting activities for a healthcare provider network. Being a Provider Network Contract Operations Manager implements reporting standards to ensure consistent recording of contract data and ensure compliance with regulatory requirements. Assists in negotiating with facilities joining the health network and setting rates. In addition, Provider Network Contract Operations Manager analyzes various rate scenarios to forecast and evaluate rate setting strategies and identify trends. Requires a bachelor's degree. Typically reports to a director. The Provider Network Contract Operations 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. Working as a Provider Network Contract Operations 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.
Provider Contracting Analyst coordinates and evaluates the contracts of a healthcare provider network. Administers and maintains a contracts database system for a healthcare provider network to track, monitor, and record contract data. Being a Provider Contracting Analyst reviews contract details and pertinent data to assist in the negotiation of contracts. Analyzes reimbursement data to identify trends and discrepancies. Additionally, Provider Contracting Analyst prepares contracts and routine reports in accordance with regulatory and organizational standards. Calculates and analyzes various rate scenarios to forecast and evaluate rate setting strategies. Distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Typically reports to a manager. The Provider Contracting Analyst occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Provider Contracting Analyst typically requires 2-4 years of related experience.