Port Huron, MI · On-site
$43K - $49K/yr
Provide support for the area of Provider Network Management * * Assist with data reporting, tracking, and monitoring * Provide support for contracts, including proofreading documents, formatting ...
Port Huron, MI · On-site
$43K - $49K/yr
Provide support for the area of Provider Network Management * * Assist with data reporting, tracking, and monitoring * Provide support for contracts, including proofreading documents, formatting ...
... Provider Network Management policy development and maintenance
... Provider Network Management policy development and maintenance
Administrative Coordinator-Provider Network Management Agency Name: Region 10 PIHP Agency Contact: Donna Position Type: Full Time Job Type: Permanent County: St. Clair Salary Range: $53,754 per Year ...
Administrative Coordinator-Provider Network Management Agency Name: Region 10 PIHP Agency Contact: Donna Position Type: Full Time Job Type: Permanent County: St. Clair Salary Range: $53,754 per Year ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Saginaw, MI · On-site
$80K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
Saginaw, MI · On-site
$80K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
Saginaw, MI · On-site
$80K - $105K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
Saginaw, MI · On-site
$80K - $105K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
$80K - $105K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
$80K - $105K/yr
Under general supervision of the Manager of Network Services and Supports, responsible for supervising the provider network services auditing program of the Saginaw County Community Mental Health ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... The Director of Provider Network Strategy & Contracting is responsible for managing the health plan ...
Management and resolution of state complaints. * State policy and contract amendment changes ... with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific ...
Management and resolution of state complaints. * State policy and contract amendment changes ... with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific ...
Management and resolution of state complaints. * State policy and contract amendment changes ... with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific ...
Management and resolution of state complaints. * State policy and contract amendment changes ... with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific ...
Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific health ...
Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific health ...
Southfield, MI · On-site
Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific health ...
Southfield, MI · On-site
Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM). * Serves as the subject matter expert in state-specific health ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan ...
Southfield, MI · On-site +1
$78K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Southfield, MI · On-site +1
$78K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Southfield, MI · Remote
$77K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Southfield, MI · Remote
$77K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Southfield, MI · On-site
$77K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Southfield, MI · On-site
$77K - $104K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
A Provider Network Management job involves building, maintaining, and optimizing a healthcare provider network. Professionals in this role negotiate contracts, ensure provider compliance with regulations, and manage relationships with healthcare providers to maintain quality care and cost efficiency. They also analyze network performance, address gaps in coverage, and facilitate collaboration between insurers and providers. The goal is to ensure patients have access to high-quality care while keeping costs sustainable for healthcare organizations.
In a Provider Network Management role, your day might include negotiating and administering contracts with healthcare providers, analyzing network performance metrics, and resolving provider issues or escalations. You’ll often collaborate with cross-functional teams such as claims, credentialing, and member services to ensure seamless network operations. Building and maintaining strong relationships with providers to address their needs, review compliance, and monitor service quality is a core part of the job. This position typically involves a mix of desk work, meetings, and occasional travel to visit provider offices or attend industry events.
To excel in Provider Network Management, candidates typically need expertise in healthcare administration, contract negotiation, analytics, and a degree in a related field such as health services administration or business. Familiarity with network management platforms, claims processing systems, provider directories, and knowledge of regulations like HIPAA are highly valuable, as are certifications such as CPC or CPHQ. Strong relationship-building, problem-solving, and communication skills set top performers apart in facilitating partnerships between providers and healthcare payers. These abilities are essential to maintain robust provider networks, ensure compliance, and deliver quality healthcare services efficiently.
The most popular types of Provider Network Management jobs in Michigan are:
For Provider Network Management jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Provider Network Management jobs in Michigan are:
Port Huron, MI • On-site
$43K - $49K/yr
Full-time
Posted 7 days ago
An employee at this level is required to perform some or all of the following duties, which do not include all tasks to be performed:
Sourced by ZipRecruiter
Public administration
11 - 50 Employees
Port Huron, MI, US
2014
