PROVIDER NETWORK MANAGER jobs in Georgia

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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Provider Network Manager
  • Sidecar Health
  • Atlanta, GA FULL_TIME
  • Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

    The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

    If you want to use your talents to transform healthcare in the United States, come join us!

    **Must reside in Georgia or Florida for consideration**

    About the Role 

    Our Provider Team is the bridge that connects Sidecar Health members to their healthcare providers. We’re growing our team and looking for experienced, passionate people to join us and help deliver the best member and provider experience in healthcare.   

    As a Provider Network Manager, you will spearhead our provider engagement initiatives in Georgia or Florida by skillfully navigating hospital contract negotiations, cultivating strong relationships, and ensuring top-notch servicing.  

    What You'll Do 
    • Grow and retain Sidecar Health membership through best-in-class provider access and pricing  
    • Lead all provider contracting efforts in Georgia or Florida (depending on your location), concentrating on establishing new hospital relationships through the development and implementation of innovative strategies  
    • Perform complex negotiations in collaboration with our Legal and Actuarial teams  
    • Serve as the liaison between hospitals, professional providers, and Sidecar Health  
    • Represent the Provider team in cross-functional projects, contributing expertise in collaboration with the Member Care, Claims, Marketing, Sales, Account Management, and Actuarial teams  
    • Collaborate with the Claims, Product, and Engineering teams to support the development of our contract management solution  
    • Develop new processes for cultivating and maintaining provider relationships  

    What You'll Bring 

    • 5 years of experience in healthcare or insurance
    • 3  years of experience in provider contracting and provider relations, with a focus on hospital negotiations 
    • Extensive knowledge of the provider community in Georgia or Florida (depending on your location), including prior relationships with hospitals and major physician groups in your state
    • Deep understanding of the current healthcare landscape coupled with the adaptability to reimagine insurance and envision the future of healthcare operations 
    • Excellent cross-functional communication and collaboration skills 
    • Tenacity and adaptability that enables you to thrive in a fast-paced and quickly evolving startup environment 
    • Exceptional ability to communicate complex healthcare concepts effectively to various stakeholders including senior leadership 
    • Bachelor's degree 

    What You'll Get

    • Competitive salary, bonus opportunity, and equity package  
    • Comprehensive Medical, Dental, and Vision benefits
    • A 401k retirement plan
    • Paid vacation and company holidays
    • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

    Sidecar Health adopts a market-based approach to compensation, where base pay varies depending on location and is further influenced by job-related skills and experience. The current expected salary range for this position is $125,000 - $140,000.

  • 9 Days Ago

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HR Manager
  • In The Network
  • Atlanta, GA FULL_TIME
  • Wanted: Human Resources Manager in AtlantaHR Manager at Network ProgressionWhat We Are Looking ForWe are looking for an experienced HR Manager to lead our HR team. You will take ownership of all HR ma...
  • 3 Days Ago

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Senior HR Manager
  • In The Network
  • Atlanta, GA FULL_TIME
  • HR Manager at In the NetworkWhat We Are Looking ForWe are looking for an experienced HR Manager to lead our HR team. You will take ownership of all HR matters across the company from recruitment to pe...
  • 3 Days Ago

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Cleaner
  • Aware Manager
  • Savannah, GA FULL_TIME,PART_TIME
  • CleanerWe are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition.ResponsibilitiesClea...
  • 11 Days Ago

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Unit Manager
  • Care Network
  • Flowery Branch, GA FULL_TIME
  • Job Details Salary From $30 an hour Job Type Full-time Monday – Friday 7am -3:30 pm Currently licensed as a Registered Nurse in Georgia with two years of long term care nursing experience. General int...
  • 24 Days Ago

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Dietary Manager
  • Care Network
  • Chatsworth, GA FULL_TIME
  • Qualifications: 1. Certified Dietary Manager (CDM) is a qualified supervisor certified by the Association of Food and Nutrition Professionals (ANFP) Participates annually in continuing education to ma...
  • 26 Days Ago

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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...
  • 6/2/2024 12:00:00 AM

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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...
  • 6/1/2024 12:00:00 AM

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AVP, Provider Claim Resolution
  • AdvantageCare Physicians
  • New York, NY
  • Summary of Position Serve as the key operational liaison with Provider Network Management and Finance: responsible for t...
  • 6/1/2024 12:00:00 AM

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Director of Provider Engagement
  • MetroPlusHealth
  • New York, NY
  • Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We bel...
  • 6/1/2024 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...
  • 5/31/2024 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...
  • 5/31/2024 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 ...
  • 5/31/2024 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...
  • 5/29/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,363 to $130,760

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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.
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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