PROVIDER NETWORK MANAGER jobs in Kansas

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 Sr
  • Elevance Health
  • Topeka, KS FULL_TIME
  • Location: Topeka KS, Kansas City KS

    Hours: M – F Standard Working Hours

    Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed

    Position Overview

    Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.

    How You Will Make An Impact

    • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development
    • Works independently and requires high level of judgment and discretion
    • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management
    • May collaborate with sales team in making presentations to employer groups
    • Serves as a communication link between professional providers and the company
    • Ensure that network composition includes an appropriate distribution of provider specialties
    • Conducts more complex negotiations and drafts documents
    • Prepare financial projections and conduct analysis

    Required Qualifications

    • Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Qualifications

    • Experience in fee schedule development using actuarial models strongly preferred
    • Travels to worksite and other locations as necessary
  • 7 Days Ago

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Provider Network Manager Sr
  • Elevance Health
  • Overland Park, KS FULL_TIME
  • Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
  • 1 Day Ago

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Provider Network Manager Sr
  • The Elevance Health Companies, Inc.
  • TOPEKA, KS FULL_TIME
  • Anticipated End Date: 2024-06-21 Position Title: Provider Network Manager Sr Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite pe...
  • 23 Days Ago

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Provider Network Management Director
  • Elevance Health
  • Overland Park, KS FULL_TIME
  • Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
  • 1 Day Ago

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Provider Network Management Director
  • The Elevance Health Companies, Inc.
  • TOPEKA, KS FULL_TIME
  • Anticipated End Date: 2024-06-21 Position Title: Provider Network Management Director Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days ...
  • 23 Days Ago

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Network Manager - Network Infrastructure
  • University of Kansas Medical Center
  • Kansas, KS FULL_TIME
  • Department:IT Network Engineering & Convergence EITATelecommunications and NetworkingPosition Title:Network Manager - Network InfrastructureJob Family Group: Professional StaffJob Description Summary:...
  • 6 Days 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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Manager Provider Network Management
  • AmeriHealth Caritas
  • Manchester, NH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 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

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Anaheim, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 12:00:00 AM

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • The Cigna Group
  • Glendale, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 6/7/2024 12:00:00 AM

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$102,981 to $129,030

PROVIDER NETWORK MANAGER in Tucson, AZ
There are different Location Providers, which one is the most accurate? The GPS Provider or the Network Provider.
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