Provider Network Manager (Central Florida)

Design, implement, and manage network infrastructure to ensure functionality and security

• Monitor network performance and troubleshoot issues as needed
• Collaborate with IT teams to ensure network compatibility and efficiency
• Implement network security measures to protect data and systems
• Oversee the installation of hardware and software components
• Develop and maintain network documentation

Bachelor’s degree from four-year College or university or

• three to five years related experience in Medicare contracting, provider relations, provider servicing; or equivalent combination of education and experience.

-Proven experience as a Network Manager or similar role

• In-depth knowledge of network protocols and technologies
• Familiarity with medical terminology, office procedures, and medical records systems
• Strong analytical and problem-solving skills

If you are a dedicated professional with a passion for network management and possess the required experience, we invite you to apply for this exciting opportunity.

Pulled from the full job description

• 401(k)
• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance
• Flexible spending account, * 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

CSTS Customer Service and Technology Solutions LLC is a dedicated third-party administrator specializing in managing the administrative and operational aspects of insurance plans. Our mission is to revolutionize the healthcare experience by delivering outstanding products and services that enhance access and delivery for our partners.

This position serves the Central Florida area - you must be based in that area. 50% local travel to visit current and potential network providers will be required. Out of state candidates will not be considered.

We are looking for someone who has worked for a health plan, negotiated contracts, and managed provider relationships. You need to understand Medicare Advantage guidelines and protocols.

Position Summary Primary responsibility includes negotiations of physician/provider contracts and ongoing education / service to the physician / provider network in assigned market areas. Establishes and maintains ongoing relationships with the health plan’s network of physicians, groups, hospitals, and ancillary providers.