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Duke University Health System
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Wake Forest, North Carolina
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University of Maryland Medical System
Linthicum Heights, Maryland
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Network Manager (STAR+PLUS)
JOB SUMMARYThe Network Manager at Community Health Choice is responsible for network development and management. This role involves expanding provider networks for existing and new lines of business, negotiating provider agreements, ensuring regulatory compliance, and maintaining effective relationships with providers. The Provider Network Manager collaborates with various internal departments to achieve departmental goals and contribute to the overall success of the organization.JOB SPECIFICATIONS AND CORE COMPETENCIESNegotiate Provider Contracts:Negotiate contract language and rates with hospital, physician, ancillary, and LTSS providers in accordance with
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