PROVIDER NETWORK MANAGER jobs in Rhode Island
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)
Recently Added PROVIDER NETWORK MANAGER jobs
Provider Network Analyst - REMOTE US
- NTT DATA North America
-
Woonsocket, RI
FULL_TIME
-
Provider Network Analyst
Type: Temporary/Contract
Location: Remote, US Authorized only apply
Hours: Mon - Friday 8 am - 5 pm
Job Duties- Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). In addition, performs more complex data transactions and maintenance associated with projects, expansions, and new product implementations.
- Works with other departments to ensure quality provider data to our members.
- Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
- Works collaboratively with internal/external constituents to implement new networks and complex contractual arrangements.
- Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, trends from routine PDS audits) and collaborates cross-functionally within the organization to recommend process improvements.
- Conducts and manages audits of provider information and escalates issues for resolution as appropriate
- 1 year of Provider Credentialing experience.
- 1 year of Experience with Provider Data and Working with large datasets (Excel, Sheet, etc.)
- 1 year of Medicaid provider data, provider relations, or provider contracting experience.
- 1 year of Project management and delivery experience in highly matrixed organizations.
- 1 year of experience working with Quick base, excel, Adobe, Quest, and other tools for working with provider data.
- Proven ability to work collaboratively at all levels and affect change.
- Exercise sound judgment and demonstrates analytical/data-driven decision-making skills.
HS Diploma
About NTT Data Services
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $25.00- 34.00 hr. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
This position may also be eligible for incentive compensation based on individual and/or company performance.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits .
#INDHRS - 3 Days Ago
Provider Network Analyst - REMOTE US
- NTT DATA
-
Woonsocket, RI
FULL_TIME
- Job DetailsProvider Network AnalystType: Temporary/Contract Location: Remote, US Authorized only apply Hours: Mon - Friday 8 am - 5 pmJob Duties: - Provides operational support and performs data maint...
- 1 Day Ago
Multisite IT Manager
- The Job Network
-
East Providence, RI
FULL_TIME
- Job TypeFull-timeDescriptionAbout Quantic Evans:Quantic Evans is a manufacturer of high-density capacitors for use in defense, telecommunications, industrial, and various high-reliability applications...
- 8 Days Ago
Assistant Manager
- Dunkin' | Placido/Faulkner Network
-
Woonsocket, RI
FULL_TIME
- We are seeking hard working, enthusiastic, individuals who are passionate about Dunkin' brands. Our team is committed to making our guests day by serving them with a great product to keep them running...
- 22 Days Ago
Residential Manager- Cove
- The Groden Network Your Autism Experts
-
Providence, RI
FULL_TIME
- $1000.00 Sign-On Bonus Are you passionate about making a positive impact on the lives of adults with disabilities? Are you a dedicated and compassionate leader who is experienced in working in residen...
- 10 Days Ago
Primary Care NP (Job )
- KPG Provider Services
-
Smithfield, RI
FULL_TIME
- Outpatient Facility: Looking for an experienced Primary Care NP in the Smithfield, Rhode Island area. Below you will find the Position Overview with all the detail regarding the position. Position Ove...
- 3 Days Ago
PROVIDER NETWORK MANAGER jobs at Popular Companies
About Rhode Island
Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$112,933 to $141,499
Most Popular Cities in Rhode Island for PROVIDER NETWORK MANAGER Jobs
What does a PROVIDER NETWORK MANAGER do?
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