Provider Network Specialist Jobs

What does a Provider Network Specialist Do?

Coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience.

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Provider Network Specialist at Alhambra Urgent Care

Alhambra, CA | Full Time

$66k-98k (estimate)

1 Week Ago

Provider Network Specialist. Pay Range: $25.00 - 30.00. Location: Alhambra, CA area. We seek a dynamic and detail-oriented. Provider Network Specialist. to join our team. Responsibilities. Supports contracting efforts in assigned regions for IPA business relationships. Negotiate and draft agreements, amendments, open-ended Memorandum of Understanding (MOUs), and Patient Specific MOUs. Process, Load, and maintain contracts and providers in the con...

Provider Network Specialist at CCHN

Remote, NC | Full Time

$56k-83k (estimate)

3 Weeks Ago

Provider Network Specialist. Location. Raleigh-Durham, Wilmington or Charlotte, NC / Homebased position. Position Purpose. Reporting to the Director, Provider Network, the Provider Network Specialist is a member of the Provider Network team serving as an operational liaison between Medicaid and Marketplace Healthcare Providers, Carolina Complete Health (CCH), Ambetter, Centene and CCHN. Key Responsibilities. Serve as the primary contact for Medic...

PROVIDER NETWORK SPECIALIST at UNM Hospitals

Albuquerque, NM | Full Time

$55k-82k (estimate)

3 Weeks Ago

Department: Provider Network Development. FTE: 1.00. Full Time. Shift: Days. Position Summary. Manage negotiation, operation, and administration of liaison activities associated with healthcare provider contracting for the TriWest Veteran Administration (VA) Community Care Network (CCN) for the state of New Mexico. Develop and deliver provider education for participant facilities and individual physicians, in compliance with CCN program requireme...

Provider Network Specialist at Lowe's

UNKNOWN, NC | Full Time

$56k-83k (estimate)

3 Weeks Ago

Lowe’s is able to offer remote employment of this position in the following states: AL, AR, AZ, CA(salaried roles only), CT, CO, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, MA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY. Job Summary. The PROvider Network Specialist is primarily responsible for completing specific activities in support of maintaining the health and accurac...

Provider Network Specialist at Masis Professional Group

Springfield, MA | Full Time

$61k-91k (estimate)

9 Months Ago

Masis Professional Group is seeking a Provider Network Specialist for a client in Springfield, MA. This is a direct hire opportunity with great benefits. $22/HR with required experience. The ideal person in this position will have experience working in the health insurance industry and be familiar with PPO Network operations and applying them to practical daily operations. The ideal candidate should also be familiar with provider contracting, pro...

Provider Network Specialist at Advanced Behavioral Health

Middletown, CT | Full Time

$91k-116k (estimate)

2 Months Ago

POSITION SUMMARY. The Provider Network Specialist provides support to complete activities associated with credentialing of providers and collection of quality of service information for the Department of Children and Families (DCF) fee for service provider network and other provider networks as assigned. In addition, this position provides and coordinates administrative and provider relations support services. Duties may include application proce...

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