About the role of the Provider Network Executive III The Provider Network Executive III (PNE III) ... Develop and execute ongoing account management and service strategy to meet corporate strategic ...
About the role of the Provider Network Executive III The Provider Network Executive III (PNE III) ... Develop and execute ongoing account management and service strategy to meet corporate strategic ...
About the role of the Provider Network Executive III The Provider Network Executive III (PNE III) ... Develop and execute ongoing account management and service strategy to meet corporate strategic ...
About the role of the Provider Network Executive III The Provider Network Executive III (PNE III) ... Develop and execute ongoing account management and service strategy to meet corporate strategic ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
As a Network Development Manager, you will be responsible for managing teams that build, deploy and ... You will be expected to provide both technical and 'soft skill' mentoring in order to maintain a ...
Own and manage long-term strategic business relationships with datacenter providers to ensure partnership health and continuity * Align site investment strategies with Network Infrastructure and ...
Own and manage long-term strategic business relationships with datacenter providers to ensure partnership health and continuity * Align site investment strategies with Network Infrastructure and ...
Own and manage long-term strategic business relationships with datacenter providers to ensure partnership health and continuity * Align site investment strategies with Network Infrastructure and ...
Own and manage long-term strategic business relationships with datacenter providers to ensure partnership health and continuity * Align site investment strategies with Network Infrastructure and ...
Provide mentoring in network engineering, automation development, and software engineering ... BASIC QUALIFICATIONS - 5+ years of managing teams experience - 8+ years of technology role ...
Provide mentoring in network engineering, automation development, and software engineering ... BASIC QUALIFICATIONS - 5+ years of managing teams experience - 8+ years of technology role ...
... while providing capacity at the lowest possible cost for our customers You'll experience an ... The team is seeking a Network Development Manager to lead a team of engineers responsible for ...
... while providing capacity at the lowest possible cost for our customers You'll experience an ... The team is seeking a Network Development Manager to lead a team of engineers responsible for ...
... while providing capacity at the lowest possible cost for our customers You'll experience an ... The team is seeking a Network Development Manager to lead a team of engineers responsible for ...
... while providing capacity at the lowest possible cost for our customers You'll experience an ... The team is seeking a Network Development Manager to lead a team of engineers responsible for ...
Senior Systems Development Engineer, Leo Network Services
Redmond, WA · On-site
$116.50K - $159.60K/yr
... Provider network supporting 3,236 satellites and terrestrial infrastructure. You'll be at the ... problem management processes to ensure rapid resolution Engage with service owners to resolve ...
Senior Systems Development Engineer, Leo Network Services
Redmond, WA · On-site
$116.50K - $159.60K/yr
... Provider network supporting 3,236 satellites and terrestrial infrastructure. You'll be at the ... problem management processes to ensure rapid resolution Engage with service owners to resolve ...
Senior Systems Development Engineer, Leo Network Services
$116.50K - $159.60K/yr
... Provider network supporting 3,236 satellites and terrestrial infrastructure. You'll be at the ... problem management processes to ensure rapid resolution Engage with service owners to resolve ...
Senior Systems Development Engineer, Leo Network Services
$116.50K - $159.60K/yr
... Provider network supporting 3,236 satellites and terrestrial infrastructure. You'll be at the ... problem management processes to ensure rapid resolution Engage with service owners to resolve ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Provide feedback and progress updates to project stakeholders * Evaluate, diagnose, troubleshoot ... Review timesheets, manage overtime and time off requests * Verify compliance with OSHA regulations ...
Network Engineer (Starshield)
Redmond, WA · On-site
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Network Engineer (Starshield)
Redmond, WA · On-site
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Network Engineer (Starshield)
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Network Engineer (Starshield)
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Network Engineer (Starshield)
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Network Engineer (Starshield)
$140K - $170K/yr
... service provider network, which supports critical national security missions. You and your ... Manage network infrastructure and deployments to Top Secret datacenters * Improve network ...
Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting ...
Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting ...
Be Seen First
Dental Network Territory Recruiter - WA
Seattle, WA · On-site
$55K - $65K/yr
... managers, and practice owners to present our network participation value proposition and address objections • Returning regularly to existing provider offices to check in, resolve issues, and ...
Quick apply
Be Seen First
Dental Network Territory Recruiter - WA
Seattle, WA · On-site
$55K - $65K/yr
... managers, and practice owners to present our network participation value proposition and address objections • Returning regularly to existing provider offices to check in, resolve issues, and ...
Provider Network Manager information
See Seattle, WA salary details
$25K - $39.6K
0% of jobs
$39.6K - $54.1K
0% of jobs
$54.1K - $68.6K
5% of jobs
$68.6K - $83.2K
11% of jobs
$94.7K is the 25th percentile. Wages below this are outliers.
$83.2K - $97.7K
12% of jobs
$97.7K - $112.3K
15% of jobs
The median wage is $120.6K / yr.
$112.3K - $126.8K
14% of jobs
$126.8K - $141.3K
17% of jobs
$143.8K is the 75th percentile. Wages above this are outliers.
$141.3K - $155.9K
14% of jobs
$155.9K - $170.4K
6% of jobs
$170.4K - $184.9K
7% of jobs
$25K
$121.3K
$184.9K
How much do provider network manager jobs pay per year?
What are the key skills and qualifications needed to thrive as a Provider Network Manager, and why are they important?
What are some common challenges faced by Provider Network Managers when negotiating contracts with healthcare providers?
What is a Provider Network Manager?
What is the difference between Provider Network Manager vs Provider Relations Specialist?
| Aspect | Provider Network Manager | Provider Relations Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are common | Often requires similar credentials, with a focus on communication or healthcare certifications |
| Work Environment | Works in healthcare organizations, insurance companies, or managed care settings, managing networks and contracts | Works in provider offices or insurance companies, focusing on building and maintaining provider relationships |
| Employer & Industry Usage | Commonly employed by health plans, insurance companies, and healthcare networks | Employed by insurance companies, healthcare providers, and managed care organizations |
The Provider Network Manager and Provider Relations Specialist roles share overlapping credentials and work environments within healthcare and insurance industries. While the Provider Network Manager focuses on managing provider networks and contracts, the Provider Relations Specialist emphasizes building provider relationships and communication. Both roles are essential for effective healthcare delivery and insurance operations, often working closely together to ensure provider satisfaction and network efficiency.
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 28 days ago
Premera Blue Cross rating
8.7
Based on 18 frontline employees who took The Breakroom Quiz
64th of 258 rated insurance
Job description
Hybrid
Join Our Team: Do Meaningful Work and Improve People's Lives
Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.
About the role of the Provider Network Executive III
The Provider Network Executive III (PNE III) develops and maintains effective relationships with a variety of Premera's key custom provider accounts to achieve Premera's operational and strategic goals, product development strategies, and continuity of Premera's vision and values. In this highly visible role, the PNE III is responsible for the negotiation and management of Premera's strategic provider relationships across the state of Washington. Success in this position is essential to support Premera's broader strategy, including the successful implementation of new products through effective provider engagement and negotiation to ensure alignment, support and adoption.
What you'll do:
- Develop and execute ongoing account management and service strategy to meet corporate strategic / financial objectives.
- Serve as main point of contact for the provider and coordinate all Premera interactions with assigned provider accounts.
- Build and maintain positive physician/provider relationships, generally with more complex accounts. Utilize consultative skills, industry knowledge, and Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment. Monitor and analyze network performance.
- Develop and maintain effective provider networks (standard and custom), often with complex payment methodologies. Participate in payment and delivery systems innovation initiatives.
- Lead negotiation and implementation of complex or custom provider contracts.
- Complete negotiations within preplanned rate targets, meet timelines, ensure the established implementation period and perform implementation audits for accuracy of assigned accounts.
- Collaborate with Healthcare Economics in rate development and proposal analysis.
- Establish and lead a multi-disciplinary team to provide operationally excellent service and support to assigned accounts.
- Consult and educate assigned accounts and internal stakeholders, providing industry and cross account expertise. Create provider specific and public presentations.
- Proactively communicate with Provider Strategy & Solutions (PS&S) leadership and internal stakeholders on account status to facilitate proper internal support of account management efforts to ensure that the resulting final contract supports Premera's operational and strategic goals.
- Engage providers to promote the concept and understanding of patient engagement adherence, cost savings preventative programs
- Other duties and projects as assigned.
What you'll bring
- Bachelor's degree or four (4) years of experience in a provider or payer environment. (Required)
- Four (4) years of experience in payer or provider contracting and managing provider relationships in health care or insurance industry to include:
- Two (2) years of experience negotiating contracts. (Required)
- Master's degree in a related field. (Preferred)
- Project management experience. (Preferred)
- Hospital contract negotiation experience. (Preferred)
- Working knowledge of Health Insurance Portability and Accountability Act (HIPAA), the National Committee for Quality Assurance (NCQA), government health care programs, and risk coding.
- Knowledge of network development and provider/vendor network recruitment.
- Knowledge of provider community and market anomalies.
- Demonstrated ability to effectively manage complex contract negotiations.
- Demonstrated ability to develop and execute strategy.
- Strong experience and expertise in Provider Relations.
- Independent work style, self-motivated, with ability to lead with minimal direction.
- Demonstrated successful verbal and written communication skills including ability to develop and deliver public presentations, training, meeting facilitation, and broker presentations.
- Strong analytical skills and problem-solving skills.
- Proven ability to lead and direct teams addressing complex issues.
- Strong interpersonal skills coupled with the ability to foster positive working relationships.
- Strong organizational, planning and administrative skills.
- Ability to work under pressure with tight timelines, limited resources, competing priorities and manage to specific project timelines.
Premera total rewards
Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:
- Medical, vision, and dental coverage with low employee premiums.
- Voluntary benefit offerings, including pet insurance for paw parents.
- Life and disability insurance.
- Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
- Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
- Generous paid time off to reenergize.
- Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
- Employee recognition program to celebrate anniversaries, team accomplishments, and more.
For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
- Commuter perks make your trip to work less impactful on the environment and your wallet.
- Free convenient on-site parking.
- Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
- Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
- Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
- Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.
Equal employment opportunity/affirmative action:
Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.
If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.
The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience.
The salary range for this role is posted below; we generally target up to and around the midpoint of the range.
National Plus Salary Range:
$92,400.00 - $157,100.00
*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.
We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions.
What Premera Blue Cross employees say
Pay
Benefits
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About Premera Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Mountlake Terrace, WA, US
Year founded
1945