What is a Provider Network Manager Job?
A provider network manager job involves managing healthcare provider networks. These networks comprise of healthcare providers such as hospitals, clinics, physicians, and other healthcare facilities. Provider network managers work for healthcare insurance companies, healthcare providers, and government agencies. They ensure that the provider networks are functioning efficiently, and the healthcare services provided are of high quality.
What usually do in this position?
Provider network managers are responsible for maintaining a network of healthcare providers. They develop and maintain relationships with healthcare providers to ensure that the provider network is up-to-date and functioning efficiently. They also work to resolve any issues that arise with healthcare providers, such as billing or quality of care.
Provider network managers work with healthcare providers to create and implement policies and procedures that ensure the quality of healthcare services provided. They also work with healthcare providers to ensure that the provider network is meeting the needs of its members.
Top 5 Skills for Position
- Strong communication and interpersonal skills
- Analytical and critical thinking skills
- Ability to create and manage budgets
- Expertise in healthcare regulations and policies
- Ability to manage relationships with healthcare providers
How to Become a Provider Network Manager
To become a provider network manager, you need a bachelor's degree in a healthcare-related field such as healthcare administration or healthcare management. A master's degree in healthcare administration or business administration is also preferred. Additionally, you need several years of experience in healthcare management or administration.
To advance in your career as a provider network manager, you may need to obtain certification in healthcare management or administration. Certification is available through organizations such as the American College of Healthcare Executives or the Healthcare Information and Management Systems Society.
Average Salary
According to salary data from Payscale, the average salary for a provider network manager is $75,000 per year. However, salaries can range from $50,000 to $120,000 per year, depending on the employer, location, and level of experience.
Roles and Types
Provider network managers work for healthcare insurance companies, healthcare providers, and government agencies. They can work in various roles, such as provider network manager, provider relations manager, or provider contracting manager.
Locations with the Most Popular Jobs in USA
Provider network managers are in high demand in the United States. The most popular locations for provider network manager jobs include:
- New York, NY
- Los Angeles, CA
- Chicago, IL
- Houston, TX
- Atlanta, GA
What are the Typical Tools
Provider network managers use various tools to manage healthcare provider networks. These tools include healthcare management software, billing and coding software, and electronic health records systems. They also use communication tools such as email, phone, and video conferencing to communicate with healthcare providers.
In Conclusion
A provider network manager job involves managing healthcare provider networks to ensure the quality of healthcare services provided. To become a provider network manager, you need a bachelor's degree in a healthcare-related field, several years of experience in healthcare management or administration, and certification in healthcare management or administration. Provider network managers work for healthcare insurance companies, healthcare providers, and government agencies and can work in various roles such as provider network manager, provider relations manager, or provider contracting manager. They use various tools such as healthcare management software, billing and coding software, and electronic health records systems to manage healthcare provider networks.