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. 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. Recruits, hires, and trains staf ...f and oversees credentialing. Requires a bachelor's degree. Typically reports to a director. 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. 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.More Show Less
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A bit about us. We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being. Why Devoted. Make a difference. a big difference. You will have the opportunity, in a un...
Location: Las Vegas Nevada. Hours: Monday - Friday. Travel. Hybrid role (1-2 days onsite per week). Position Overview. Develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. How You Will Make an Impact. Typically works with less-complex to complex providers. Providers may include, but are not limited to, sm...
Location : N17W24222 Riverwood Dr., Ste 300 Waukesha, WI. Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week. Candidates must reside within 50 miles or 1-hour commute each way of the above Elevance Health location. Develops the provider network through contract negotiations (langua...
Responsible for National provider network management including, development and implementation of corporate network initiatives within CorVel’s proprietary networks, specifically the CareIQ Ancillary Care Networks. This individual should have a background in Vendor management, PPO or Specialty / Ancillary network contracting and developing, with strong negotiation skills and management experience. This is a remote position. ESSENTIAL FUNCTIONS AN...
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in th...
Provider Network Manager. Job Family: Digital and Technology. Type: Full time. Date Posted:Mar 28, 2023. Req #: JR57583. Location. MO, ST LOUIS. Iowa, Iowa. Kentucky, Kentucky. Missouri, Missouri. Tennessee, Tennessee. Arkansas, Arkansas. Nebraska, Nebraska. Illinois, Illinois. Kansas, Kansas. Oklahoma, Oklahoma. Description. Job Title: Provider Network Manager. Location: Hybrid - Must live within 50 miles of Missouri. Must be willing to travel t...
