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Courses

Network Management (AHM530)

Organizations that make network management a priority are better positioned to provide high quality, value-focused care, while maintaining financial sustainability. The Network Management (AHM530) online course is a deep dive into how health insurance providers use the network management function to seamlessly integrate health care providers, clinics, hospitals, pharmacies, and other stakeholders.

Course Details

Format
21-hour course length
1 exam

Actions

Enrollment
$220 AHIP Members
$280 Non-Members
Enroll Now

Enrollment takes place at a third-party website. When you arrive, log in or create an account and browse our online catalog.


Contact AHIP With Questions
866.234.6909
Support@AHIPInsuranceEducation.org

At a Glance

  • 21-hour course length, plus 1 exam
  • Students have up to 180 days to complete course
  • Counts toward FAHM® professional designation
  • Flexible, self-paced online format
  • Mobile-friendly
  • Technical support available by phone or email

What You’ll Learn

  • Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
  • Understand how network strategies improve access, quality, and cost-effectiveness
  • Learn the process for network provider selection
  • Master the essential elements of a contractual relationship between health insurance providers and health care providers
  • Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
  • Map out how health insurance providers select, contract with, and compensate specialists and health care facilities
  • Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks
  • Explore how health insurance providers ensure their provider networks remain adequate to meet member needs

Who Should Take This Course

  • Agents and brokers
  • Case managers
  • Financial planners
  • Health insurance provider staff
  • Medical directors
  • Medical management staff

For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 800.509.4422. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Interested in getting the AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!