| Provider Programs Manager Job Description |
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| The following is a full job description for Provider Programs Manager. Here are the requirements and responsibilities for Provider Programs Manager along with statistics. If after reading this page you determine that Provider Programs Manager is not the position you are looking for, you may want to try one of these similar titles: Provider Network Manager, Provider Contracting Manager, Managed Care Provider Relations Manager, Program Management Office Manager, Sr., Sponsored Programs Director, Sales Training Manager, Clinical Research Manager, Benefits Manager, Provider Relations Representative |
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| Requirements and Responsibilities For Provider Programs Manager |
| Oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. Reviews existing and future reimbursement policies, regulations and guidelines. Ensure competitiveness of provider network by the deployment of cost effective programs and systems that deliver results that meet cost control and quality goals of the organization. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. Typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. |
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| Also referred to as: Provider Network Administrative Manager |
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| Similar Jobs: Provider Network Manager, Provider Contracting Manager, Managed Care Provider Relations Manager, Program Management Office Manager, Sr., Sponsored Programs Director, Sales Training Manager, Clinical Research Manager, Benefits Manager, Provider Relations Representative |
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| Level of Education: Provider Programs Manager Salaries with a Bachelor's Degree, Provider Programs Manager Salaries with a Master's Degree or MBA, Provider Programs Manager Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
