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Remote Network Operations Manager Jobs in Kentucky

Abilis Health Plan

Provider Network Manager

Lexington, KY · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... Collaborate with internal departments to resolve provider issues, support operational initiatives ...

New

Abilis Health Plan

Provider Network Manager

Louisville, KY · On-site +1

$70K - $80K/yr

The Provider Network Manager serves as a primary contact for contracted providers, conducts ... Collaborate with internal departments to resolve provider issues, support operational initiatives ...

New

Lumimeds

Remote (Argentina and Brazil) Work Hours: U.S. business hours Department: CS / Operations About the ... You will manage coverage, attendance, and workflow distribution independently. * Drive Performance ...

Pomeroy

Senior Solution Architect

Hebron, KY · On-site +1

Remote - Continental United States Travel: Up to 25% (client and internal meetings) About Pomeroy ... This role partners closely with Sales, Service Delivery, Operations, Finance, Portfolio Management ...

Deloitte

Manager - ServiceNow

Louisville, KY · On-site +1

This compensation range is specific to Remote role and takes into account the wide range of factors ... Operations Management, Information Technology Asset Management, and Third-Party Risk Management ...

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Remote Network Operations Manager information

What is the difference between Remote Network Operations Manager vs Remote Network Engineer?

AspectRemote Network Operations ManagerRemote Network Engineer
Required CredentialsNetworking certifications (e.g., CCNA, CompTIA Network+), management experienceNetworking certifications (e.g., CCNA, CCNP), technical skills
Work EnvironmentOversees teams, manages network operations, strategic planningDesigns, implements, troubleshoots network systems
Employer & Industry UsageIT departments, managed service providers, large enterprisesIT firms, telecom companies, enterprise networks
Search & Comparison IntentUnderstanding managerial roles, leadership in network operationsTechnical network design and implementation

The Remote Network Operations Manager focuses on overseeing network teams, managing operations, and strategic planning, requiring management experience and certifications. In contrast, the Remote Network Engineer is more technical, involved in designing and troubleshooting network systems. Both roles often require similar certifications but differ in responsibilities and work focus.

What are popular job titles related to Remote Network Operations Manager jobs in Kentucky?

For Remote Network Operations Manager jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Network Operations Manager jobs in Kentucky look for?

The top searched job categories for Remote Network Operations Manager jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Network Operations Manager jobs?

Cities in Kentucky with the most Remote Network Operations Manager job openings:

Remote Network Operations Manager jobs near you

Provider Network Manager

Abilis Health Plan

Lexington, KY • On-site, Remote

$70K - $80K/yr

Full-time

Medical

Posted 2 days ago

New

Job description

Our Company

Abilis Health Plan

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%
About our Line of BusinessAbilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve. For more information, please visit www.abilishealth.com. Follow us on LinkedIn.Salary RangeUSD $70,000.00 - $80,000.00 / YearEmployment Type: FULL_TIME

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