Managed Care
Manager of Provider Network Operations
Job ID: #
33112
Hours: M-F 9:00am-5:00pm - hybrid
Hourly Rate/Salary: 115k-120k
Job Summary:
A Managed Care Plan in Manhattan is looking for a Manager of Provider Network Operations to join their growing team.
The Manager of Provider Operations will:
Develop metrics and implement plans to execute ongoing network development
Manage the provider application and contract process to ensure that applications forwarded to credentials are complete
Develop metrics and implement plans to execute ongoing network development to manage network deficiencies
Manage the provider application/contract process and ensure that applications forwarded to credentials are complete
Make site visits to provide education to existing and targeted providers
Other duties, as needed
Location:
Company Size:
Job Type:
Date:
New York, NY - Hybrid
Full time
Dec 4, 2024
Requirements
Bachelor's degree required, preferably in healthcare in healthcare administration or contracting
3-5 years in managed care, provider relations, contracting or network development
3+ years supervisory work which includes hiring, planning, assigning and directing work
Knowledge of health care claims adjudications, medical billing and coding terminology
Knowledge of Medicare as well as healthcare industry claims policies and procedures