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Provider Network Operations Analyst Jobs in Kentucky

Abilis Health Plan

Provider Network Manager

Louisville, KY · On-site +1

$70K - $80K/yr

Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness. * Promote a positive and collaborative work environment that ...

Abilis Health Plan

Provider Network Manager

Lexington, KY · On-site +1

$70K - $80K/yr

Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness. * Promote a positive and collaborative work environment that ...

BrightSpring

Provider Network Manager

Louisville, KY · On-site

$80K/yr

Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness. * Promote a positive and collaborative work environment that ...

CACI International Inc.

$73K - $95K/yr

You will provide technical analysis support and identify potential network paths and technical overwatch. In this role you will solve cyber problems through operations and data-driven analytics ...

Peraton

$51K - $82K/yr

Responsibilities Peraton is seeking a Network Operations Tier I Analyst to join our team of ... CBP Network Management Support Services provide CBP Network(s) support and is responsible for ...

New

Empower AI

$148K/yr

Our proven Empower AI Platform ® provides a practical, sustainable path for clients to achieve ... You will participate in high-level enterprise architecture analysis, evaluation, design ...

CVS Health Corporation

$62K - $84K/yr

Required 5+ years in healthcare data or network operations, provider data management, or a closely adjacent analytics function - value‑based care, Medicare Advantage, or a health plan/health system ...

CACI International Inc.

Integrated Operations (IO) Bridge Analyst - Day Shift Job Category: Information Technology Time ... network incidents, coordination with commercial and external Service Providers, customer impact ...

Twenty8 Technology, LLC

IT Network Operations SME (SETA) Professional Arlington, VA, US 9 days ago Requisition ID: 1041 ... Provide expertise in the design, implementation, and maintenance of secure and robust network and ...

Glsauto

Through advanced analytics and technology, we can more accurately predict credit risk and provide ... As an Operations Analyst, you will be responsible for identifying, researching, and recommending ...

CareSource

Job Summary The Director, Network Performance & Engagement provides expert leadership, analysis and ongoing support in the areas of provider network operations including Total Cost of Care (TCOC ...

The Cato Corporation

Interfaces with store operations to help provide clarity and information on current store ... Maintain and control the network of trash vendors servicing the stores. * Assist store operations ...

New

Woman's

$102K - $151K/yr

Network Operations Manager - Information Systems Job Category : Supervisory/Managerial Requisition ... We are proud of the care our staff provides to patients--and to one another--every day. We are ...

Zero

This role is a sales and business development role focused on building provider networks in new ... Strong analytical and problem-solving abilities, with a data-driven mindset * Ability to work ...

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Provider Network Operations Analyst information

What cities in Kentucky are hiring for Provider Network Operations Analyst jobs?

Cities in Kentucky with the most Provider Network Operations Analyst job openings:

Infographic showing various Provider Network Operations Analyst job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Provider Network Manager

Louisville, KY • On-site

BrightSpring Health Services
Health Care and Social Assistance • 10K+ employees
Learn more about BrightSpring Health Servicesexternal

$70K - $85K/yr

Full-time

Medical

Posted 22 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

Job description

Overview

The Provider Network Manager is responsible for maintaining and enhancing provider networks within an assigned territory through provider relations, network development, and routine contracting activities. The Provider Network Manager serves as a primary contact for contracted providers, conducts provider education and outreach, identifies and addresses network opportunities, and supports provider recruitment efforts. The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.


Responsibilities

  • Manage provider relationships within assigned markets, serving as a primary point of contact for contracted providers and addressing network-related issues and inquiries.
  • Perform routine provider contracting and recruitment activities to support network growth, address coverage gaps, and maintain adequate provider access.
  • Conduct provider education and outreach activities to promote provider engagement, communication, and understanding of health plan requirements and initiatives.
  • Monitor and report market and provider changes that may impact network performance, access, or compliance within assigned territories.
  • Collaborate with internal departments to resolve provider issues, support operational initiatives, and improve network effectiveness.
  • Promote a positive and collaborative work environment that supports continuous improvement and organizational success.
  • Complete all assigned corporate responsibilities, including compliance training and other organizational requirements.

Qualifications

  • Associate’s Degree or equivalent work experience.
  • Five (5)+ years of experience in managed care, provider network development, provider relations, contracting, or a related healthcare field.
  • Prior experience with Medicare Advantage plans required; Institutional Special Needs Plan (I-SNP) experience preferred.
  • Experience building and maintaining provider relationships, conducting provider education, and supporting provider engagement initiatives.
  • Reliable transportation.
  • Current automobile insurance which meets company policy requirements.
  • Familiarity with health plan operations, including benefits, claims review and resolution, eligibility, provider data management, and network operations.
  • Knowledge of CMS network adequacy standards, provider recruitment, and regulatory compliance requirements preferred.
  • Strong organizational, presentation, and time management abilities.
  • Effective communication skills.
  • Working knowledge of Medicare payment methodologies.
  • Ability to follow instructions and work independently to achieve goals and complete assignments.
  • Proven success working collaboratively in a team environment.
  • Proficient in Microsoft Office Suite and other relevant computer applications.
  • Self-motivated, dependable, team-oriented, and goal-oriented.
  • Skilled at managing multiple priorities effectively.
  • Travel up to 25%

What BrightSpring Health Services employees say

Pay

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