Provider Network Administration Manager

Job Summary

A company is looking for a Manager, Provider Network Administration.

Key Responsibilities

• Leads a team managing provider network administration activities, ensuring timely and accurate updates of provider information
• Oversees data review and analytics, maintaining quality standards for provider demographic data
• Conducts operational meetings, generates reporting for stakeholders, and manages team performance through training and development

Required Qualifications

• At least 7 years of healthcare experience, including claims and provider network operations, with 3 years in medical terminology and 2 years in a health plan provider network department
• Minimum of 1 year of management or leadership experience
• Experience in claims processing and coordination of benefits
• Project management or workflow design experience
• Proficiency in Microsoft Office suite, particularly Excel