| 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 Relations Manager, Provider Systems Manager, Provider Services Manager, Provider Contracting Manager, Provider Network Manager, Program Management Office Manager, Sr., Sponsored Programs Director, Sales Training Manager, Clinical Research Manager |
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| Requirements and Responsibilities For Provider Programs Manager |
| Manages the provider network administration function of an organization. Collects and analyzes data on program utilization, claims, and costs. Reviews existing and future reimbursement policies, regulations, and guidelines. Develops and deploys cost-effective programs that provide effective services, control costs, and align with organizational objectives and competitive position. Tracks, measures, and reports on cost-controlling activities resulting from program initiatives. Requires a bachelor's degree. Typically reports to a director. 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. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
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| Also referred to as: Healthcare Provider Programs Specialist, Provider Network Programs Manager |
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| Similar Jobs: Provider Relations Manager, Provider Systems Manager, Provider Services Manager, Provider Contracting Manager, Provider Network Manager, Program Management Office Manager, Sr., Sponsored Programs Director, Sales Training Manager, Clinical Research Manager |
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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 | |
