Provider Network Specialist
Virtual Vocations Inc
To support the expansion of a healthcare provider network, the remote Provider Network Specialist will research, evaluate, and recommend top-tier providers while enhancing systems and processes for provider management and patient access. Key responsibilities Build and maintain a proprietary database of elite healthcare providers, ensuring accuracy and clinical relevance Expand the provider network through research, evaluation, and relationship development Support the implementation of technology-enabled processes to streamline provider management and patient access Required qualifications Availability to work Pacific Time Zone (PST) or Mountain Time Zone (MST) business hours Prior provider-facing healthcare experience and/or a degree in a healthcare-related field strongly preferred Experience conducting or administering academic and/or clinical research strongly preferred A strong affinity for technology and process optimization Self-starter approach with strong research and analytical skills
- ...The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to care for injured workers while supporting network growth and cost containment. This role is responsible for rapid provider outreach...SuggestedContract work
$55k - $60k
...deliver measurably better outcomes. Everyone deserves great care. We make sure they get it. About the role As a Provider Network Specialist at PHM, you will play a critical role in expanding and strengthening the network of healthcare providers that enable our...SuggestedHourly payFull timeLive inRemote work$65k - $85k
...Job Description MUST BE LOCATED IN WASHINGTON or OREGON A bit about the role…. This highly impactful role will analyze provider demographic information, financial data, quality reports, and special project data. A key responsibility is supporting the performance...SuggestedFull timeContract workInternshipRemote work- ...Job Description Job Description This is one position split between 2 departments: The Provider Network Specialist provides support to complete activities associated with credentialing of providers under several contracts and collection of quality of service information...SuggestedContract workWork experience placementWork at officeShift work
- ...your personal information.Job Summary:This position is responsible for recruiting medical facilities into Acuity's worldwide provider network and acting as their primary liaison with the company. Extensive phone work is required; actively cold calling and negotiating...SuggestedFull timeContract workRemote workWork from home
$23 - $27.3 per hour
...: Responsible for screening, intake, processing and maintaining provider network primary source documents to ensure provider record is accurate. This position will involve processing changes, terminations, and provider roster lifecycle. Provider data accuracy audits current...Full timeWork at officeRemote workRelocation- Bardavon Health Innovations, LLC is seeking a Provider Network Specialist to manage SRA cases from intake to scheduling, ensuring timely access to care for injured workers. The role emphasizes proactive outreach, negotiation, and placement execution with an aim to convert...
- Bardavon is seeking a Provider Network Specialist to manage Single Referral Agreements (SRA) and drive timely access to care for injured workers. The role emphasizes rapid provider outreach, negotiation, and placement execution to convert providers into long-term in-network...
- ...your application is still being considered. Under the direction of the Supervisor II in the OPM, Division of Provider Networks (DPN), the Health Program Specialist I (HPS I) performs high profile, sensitive and complex specialized assignments involving broad policy...Permanent employmentFull timeWork at officeRemote work
- Planned Systems International is seeking a Provider Network Support Specialist to strengthen provider network access, capacity, enrollment, credentialing, and compliance for a federal healthcare program. The role involves analyzing provider network data, identifying coverage...For contractors
$22.5 - $25 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Provider Network Specialist II Full Time Diamond Bar, CA, US Salary Range: $22.50 To $25.00 Hourly About the Company: At Call the Car, we believe...Hourly payFull timeContract workFor subcontractorWork at officeRemote workFlexible hoursAfternoon shift- ...Provider Network Specialist 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...Work experience placementWork at office
$56.2k - $101k
...Position Purpose: Perform day to day duties of assuring that providers are set up accurately in the provider information system for state... ...and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution...Full timeContract workPart timeH1bWork at officeRemote workFlexible hours- Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network, for assuring that the network meets URAC and DoD standards, and that there is compliance with all elements of the TRICARE Management...Minimum wageContract workLocal areaShift work
- The Key Family of Companies is looking for a Provider Relations Representative to oversee network relationships and ensure compliance. This role requires strong skills in communication, problem-solving, and relationship management within the healthcare industry. Ideal...Work at office
- Myomo Inc. is seeking a Provider Network Specialist to grow and maintain a national therapy provider network for the MyoPro. The role concentrates on therapist engagement, provider education, and coordinating with internal teams to ensure consistent clinical network operations...Remote job
- Arizona Priority Care in Chandler, AZ, seeks a Network Management Coordinator to support contract management and provider relations across multiple health plans. The role emphasizes building strong provider relationships, coordinating communications, and ensuring roster...Contract work
- Planned Systems International is seeking a Provider Network Support Specialist to strengthen provider network access, capacity, enrollment, credentialing, and compliance for a federal healthcare program. You will analyze provider network data, identify gaps, support enrollment...Remote jobFor contractors
- VIVA USA Inc. seeks a health insurance provider services professional in Austin, TX. This remote-capable role supports Medicare and Medicaid... ..., claims, and directory issues, and coordinate with Provider Network, Provider Relations, and Government Programs staff. #J-18808-...Remote jobContract workFlexible hours
- Call the Car, Inc. is seeking a Provider Network Specialist II to research and recruit subcontractors, support initial contracting, and ensure subcontractor compliance. This on-site role focuses on onboarding, credentialing, and ongoing quality control in Diamond Bar, CA...For subcontractor
$85k - $90k
...Job Description Job Description JOB SUMMARY Provider Contracting Specialist is a specialized healthcare professional who negotiates, implements... ...analysis of business need and maintain a comprehensive network; collaborates with utilization management, marketing,...Contract workWork at officeImmediate startRemote workMonday to Friday- Provider Network Solutions, LLC in Miami, FL is seeking a detail‑oriented service associate to support the Provider Servicing Manager with network group inquiries and problem resolution. This role coordinates group submissions, such as rosters, group applications, and...
- ...in Fort Worth, TX seeks a Market Contracting Analyst to support provider contracts and CMS adequacy across current service areas. You... ...compliance, and contributing to process improvements while traveling to network locations as needed. #J-18808-Ljbffr American Health Plans
- ...Plans in Kansas City, MO area is seeking a contracting and provider relations specialist. This role focuses on contracting providers and essential... ...on plan functions. You will support CMS policies, maintain network coverage, and participate in implementation efforts while...
- ...coordinate care and reduce ER visits and avoidable hospitalizations. The role focuses on contracting providers and vendors, credentialing compliance, and educating network providers about Health Plan operations, CMS guidelines, and performance expectations. Travel to...Remote job
- ...position is responsible, in the South Florida region, for all activities related to developing, maintaining and expanding the network of providers, including development, administration and negotiation of physician, medical group, ancillary, hospital and vendor...Contract work
- American Health Plans is seeking a detail‑oriented professional to manage provider contracting and network relations. The role supports CMS adequacy, credentialing, and coordinated care for seniors in long‑term facilities. The ideal candidate has healthcare experience,...
- Parkland Health in Dallas seeks a Provider Relations Representative to serve as the primary liaison between providers and the health plan, enhancing network adequacy and quality of care. This role requires strong negotiation, communication, and analytical skills, with...
- Oscar Health is seeking a Senior Specialist, Network Recruitment to help maintain network adequacy and contract data quality. You will work closely with internal teams and external providers to manage contracts and onboarding, in a role reporting to the Manager, Network...Remote jobContract work
- Nexus HR Services is seeking a Provider Relations Specialist to support provider network development and contracting for an IPA in Los Angeles, CA. This 1099/Independent role involves negotiating contracts, credentialing, and educating providers across physician groups,...
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