PROVIDER NETWORK MANAGER jobs in California

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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Analyst Project Manager
  • HERITAGE PROVIDER NETWORK, INC.
  • Northridge, CA FULL_TIME
  • Position Summary:

    This position will directly support the Vice President of Operations, Central Region providing coordination of administrative functions and supporting projects for the Clinical Operations department. Compiles data, performs data entry and runs reports. This position provides general assistance and support, interfaces with the executive team, Medical Directors, Management and all employees and will assist with special projects. This individual will provide data analysis, program evaluation activities, campus-specific program support, target initiatives within the medical management department. This Project Specialist enables work in these areas to be streamlined, improving efficiency and supporting management

    Responsible for planning, developing, managing, and implementing program specific special projects. This includes gathering requirements for the special project through direct interface with members of various departments, and administration. Assists with time and resource management throughout the development cycle of the special project. Works closely with development teams to plan, perform, and maintain special products. Tracks project deadlines and accountable to meet all deadlines. Tracks project progress and outcomes of special projects. Provides oral and written presentations as requested to share special projects with other departments and external entities.

    Essential Duties and Responsibilities include the following:

    • Reviews and analyzes data across various business units to support business functions, program development and analysis.
    • Produces reports to inform various aspects of evaluation and analytics.
    • Analyzes, reviews, forecasts, and presents information for programmatic, operational, and business planning.
    • Supports and strengthens data infrastructure for regional and departmental use through development of tracking systems and utilizing existing technology platforms and data warehouses of the organization.
    • Assists in developing and implementing effective/strategic business solutions through research and analysis of data and business processes.
    • Assists in identifying business information needs, system requirements and KPIs to assist with programmatic, operational, and strategic planning.
    • Identifies pertinent and useful data from a variety of sources throughout the organization.
    • Designs custom reports, as needed.

    The pay range for this position at commencement of employment is expected to be between $70,304/year to $75,000 /year ; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

    The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

    Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

    If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

    As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

    Full Time Position Benefits:

    The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

    Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

    Health and Wellness:

    • Employer-paid comprehensive medical, pharmacy, and dental for employees
    • Vision insurance
    • Zero co-payments for employed physician office visits
    • Flexible Spending Account (FSA)
    • Employer-Paid Life Insurance
    • Employee Assistance Program (EAP)
    • Behavioral Health Services

    Savings and Retirement:

    • 401k Retirement Savings Plan
    • Income Protection Insurance

    Other Benefits:

    • Vacation Time
    • Company celebrations
    • Employee Assistance Program
    • Employee Referral Bonus
    • Tuition Reimbursement
    • License Renewal CEU Cost Reimbursement Program
    • Business-casual working environment
    • Sick days
    • Paid holidays
    • Mileage

    Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

    Requirements:
    • Master's in Applied Mathematics, Biostatistics, Business Administration or other related field highly preferred.
    • Bachelor's degree in Applied Mathematics, Statistics, Business Administration or related field required
    • Minimum two years of work experience in data analytics, project management or similar function.
    • Strong working knowledge of multivariate statistical and machine learning methodologies.
    • Intermediate to advanced skills in finance, operations, and other analytics-related practices.
    • Working knowledge of R, Python, Excel, Access, in addition to basic programming, calculations and formula writing.
    • Experience with SQL database.
    • Strong quantitative and analytical skills with the ability to translate findings to all levels of the organization.
    • Excellent verbal and written communication skills.

    Compensation: 70,304/yr.
  • 11 Days Ago

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Inpatient Case Manager LVN
  • HERITAGE PROVIDER NETWORK, INC.
  • Covina, CA FULL_TIME
  • Position Summary: The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care e...
  • 17 Days Ago

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Respiratory Case Manager – Disease Management Programs ( RN )
  • HERITAGE PROVIDER NETWORK, INC.
  • Northridge, CA FULL_TIME
  • We are looking to hire an experienced Respiratory Case Manager to join our clinical care team. Position Summary: This individual will be accountable for providing clinical care management and coordina...
  • 23 Days Ago

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Inpatient Case Manager RN / LVN -L.A. Per Diem
  • HERITAGE PROVIDER NETWORK, INC.
  • Northridge, CA PER_DIEM
  • Position Summary: The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care e...
  • 16 Days Ago

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Provider Network Development Manager
  • Central California Alliance for Health (Remote)
  • Mariposa, CA FULL_TIME
  • We have an opportunity to join the Alliance as the Provider Network Development Manager within the Provider Services Department, leading the Provider Network Development team. **We are filling one pos...
  • 1 Month Ago

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Provider Network Development Manager
  • Central California Alliance for Health (Remote)
  • Hollister, CA FULL_TIME
  • We have an opportunity to join the Alliance as the Provider Network Development Manager within the Provider Services Department, leading the Provider Network Development team. **We are filling one pos...
  • 1 Month Ago

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Palm Beach Gardens, FL
  • Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re pass...
  • 6/11/2024 12:00:00 AM

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Provider Network Manager Sr
  • Elevance Health
  • Manchester, NH
  • Anticipated End Date: 2024-07-31 Position Title: Provider Network Manager Sr Job Description: Location: NH-Manchester, M...
  • 6/10/2024 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...
  • 6/10/2024 12:00:00 AM

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Director of Provider Engagement
  • Tandym Group
  • New York, NY
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 6/10/2024 12:00:00 AM

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Strategic Account Executive
  • Virsys12
  • Strategic Sales Account Executive, Salesforce.com and Healthcare Consulting Practice and SAAS Software V12 Network Virsy...
  • 6/10/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Miami, FL
  • Anticipated End Date: 2024-06-18 Position Title: Provider Network Manager Job Description: Provider Network Manager (JR1...
  • 6/9/2024 12:00:00 AM

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Provider Network Manager
  • Devoted Health
  • Cincinnati, OH
  • At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for...
  • 6/8/2024 12:00:00 AM

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Dental Provider Network Manager (Client Relations Healthcare/Dental)
  • LIBERTY Dental Plan
  • Building Brighter Futures, One Smile at a Time! LIBERTY Dental Plan is seeking an experienced Dental Provider Network Ma...
  • 6/7/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$119,315 to $149,495

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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