Provider Network Specialist

Provider Network Specialist

As a Provider Network Specialist, you will play a pivotal role in managing and enhancing relationships within our provider network. This position requires a detail-oriented professional adept at developing and maintaining provider networks, and optimizing provider performance to deliver exceptional care to our members. You will be instrumental in fostering effective communication and collaboration between providers and our organization, contributing to the overall success and efficiency of our network.

Under the direction of the Manager of Professional Services, the Network Specialist, inputs provider data into the NVA system, works with internal teams and providers by telephone and written communication.

Duties and Responsibilities:

• Inputs provider data into the NVA AS400 system utilizing SharePoint and other Network Drives
• Experience with or ability to learn the NVA system to assist in provider set up
• Responds to mail and emails received from providers.
• Makes all appropriate changes to provider database as requested by providers
• Assists in resolving member inquiries and complaints regarding providers
• Assists with answering provider calls from the call center, as necessary.
• Tracking and working Excel Spreadsheets, Word & PDF Documents
• Other duties as assigned

Qualifications:

• High school diploma
• Excellent written and verbal communication skills are required.
• Proficiency in computer applications and experience with Microsoft Office products
• Strong organizational skills and the ability to effectively prioritize tasks are essential.
• Must be able to perform multiple tasks

Featured Benefits

• Competitive salary
• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

About Benecard Services our affiliated companies:

Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.

We are an Equal Opportunity employer.