Manager Provider Networks

Orlando, FL US

Job ID: 2436 Position Type: Corporate - Regional Jobs
Manager, Provider Networks (System)

In 2017, our client was named on the list of "150 Top Places to Work in Healthcare" by Becker's Hospital Review.

The System's Manager, Provider Networks is responsible for analysis, monitoring, and oversight for a wide variety of complex contracts, including third party payers. The System's Manager, Provider Networks, Provides ongoing maintenance of contracts to ensure compliance.The System's Manager, Provider Networks is responsible for Contract modeling through Thrive. The System's Manager, Provider Networks Monitors accounts receivable by reviewing all payer accounts, ensuring all accounts are processed and identify barriers causing a delay in payment. The System's Manager, Provider Networks works closely with executive group and physician-hospital organization (PHO) leadership to secure competitive contracts

Bachelor’s Degree required

Three to five years’ experience in managed care related management position dealing directly with payers, providers, and intermediaries.

Minimum of 10 years healthcare finance experience required.
Minimum of 5 years in the Business Office/Managed Care related management position dealing with payers by analyzing data.
Proficient in the use of computer software. Skills a) HBOC; b) Excel; c) Word; d) Access; e) ICD10, CPT, DRG coding requirements

Accounts Receivable, General Business Office Equipment, Electronic Claims Processing; Communication Skills with emphasis on payer and providers

To learn more contact

Juli Van Der Meulen
Sr. Executive Recruiter

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