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Alternate job titles: Provider Network Administrative Manager

Oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. 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. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manag more...



Alternate job titles: Provider Programs Manager

The Provider Network Administrative Manager collects data, analyzes and reports on claims, utilization, costs and changes. Oversees the provider network administration function of an organization. Being a Provider Network Administrative Manager 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. Reviews existing and future reimbursement policies, regulations and guidelines. In addition, Provider Network Administrative Manager requires a bachelor's degree. Typically more...


Alternate job titles: Provider Network Operations 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. 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. Requires a bachelor's degree. Typically reports to top management. Typically manages through subordinate managers and professionals in larger groups more...


Alternate job titles: Network Provider Contract Operations Manager

Manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Requires a bachelor's degree. Typically reports to a head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that proje more...



Alternate job titles: Human Services Worker | Human Services Support Specialist | Life Skills Assistant

The Community Support Direct Care Provider provides training in life skills. Provides assistance to individuals with disabilities or who need assistance with daily tasks. Being a Community Support Direct Care Provider may require a bachelor's degree. May work in social service facilities and programs such as group homes, mental health centers, youth service agencies, and adult care centers. In addition, Community Support Direct Care Provider typically reports to a supervisor or manager. Being a Community Support Direct Care Provider works on projects/matters of limited complexity in a support more...


Alternate job titles: Provider Contracts Administrator | Provider Contracts Analyst

Coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. more...



Alternate job titles: Provider Network Specialist | Provider Contracts Analyst

The Provider Contracts Administrator participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Coordinates and evaluates the contracts of a healthcare provider network. Being a Provider Contracts Administrator requires a bachelor's degree. Distributes contract information, status updates, and other information within the organization. In addition, Provider Contracts Administrator typically reports to a manager or head of a unit/department. Being a Provider Contracts Administrator gains exposure to some of the complex tasks within the job more...


Alternate job titles: Provider Network Specialist | Provider Contracts Administrator

The Provider Contracts Analyst participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Coordinates and evaluates the contracts of a healthcare provider network. Being a Provider Contracts Analyst requires a bachelor's degree. Distributes contract information, status updates, and other information within the organization. In addition, Provider Contracts Analyst typically reports to a manager or head of a unit/department. Being a Provider Contracts Analyst gains exposure to some of the complex tasks within the job function. Occasionally more...


Alternate job titles: Provider Network Administrative Representative | Provider Network Relationship Specialist

Supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Typically reports to a supervisor or manager. Works on projects/matters of limited complexity in a support role. Work is closely managed. Typically requires 0-2 years of related experience. more...



Alternate job titles: Provider Network Manager

The Provider Network Operations Manager is responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Manages the operations of a healthcare provider network. Being a Provider Network Operations Manager may be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. In addition, Provider Network Operations Manager requires a b more...


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