Provider network manager Job Description
Provider network manager Job Description Template
A Provider Network Manager oversees healthcare provider relations, negotiates contracts, and ensures network growth and efficiency. Key tasks include managing provider databases, resolving disputes, and monitoring network performance.
Responsibilities:
- Develop and maintain positive relationships with healthcare providers
- Conduct market research to identify new providers and evaluate existing ones
- Negotiate contracts and fees with providers to ensure cost-effective services
- Develop and implement provider network policies and procedures to ensure compliance with regulations and standards
- Analyze provider performance data and identify areas for improvement
- Collaborate with other departments to ensure coordinated and efficient delivery of healthcare services
- Provide training and support to providers to ensure high-quality service delivery
- Monitor provider network performance and develop strategies to address any issues or gaps in coverage
Requirements:
- Bachelor's degree in business administration, healthcare administration, or a related field.
- At least 5 years of experience managing healthcare provider networks.
- Strong negotiation skills and ability to maintain positive relationships with providers.
- Knowledge of healthcare laws, regulations, and compliance requirements.
- Ability to analyze data and make informed decisions to improve network performance.
- Excellent communication skills, both written and verbal, to effectively communicate with providers and internal teams.
- Experience with contract management and development.
- Ability to manage multiple projects and priorities in a fast-paced environment.