Provider Relations Specialist
ProKatchers
Job Title : Provider Relations Specialist
Location : Remote
Duration : 03+ months
Education : Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required
Shift Details : Days (0800-1700) Remote, no weekends
Job Requirements: General Description:
Assist in maintaining accurate provider directories by validating demographic and operational information
Location : Remote
Duration : 03+ months
Education : Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required
Shift Details : Days (0800-1700) Remote, no weekends
Job Requirements: General Description:
- Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures, benefits, policies, and available provider tools
- Coordinates and provides administrative support to the Network Contracting and Relations team.
- Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through.
- Document all provider interactions and outcomes in internal systems.
- Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates.
- Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed.
Assist in maintaining accurate provider directories by validating demographic and operational information
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Provider Relations Specialist in United States vacancy
- ...Provider Revalidation Specialist Location: Remote (Must reside in Massachusetts) Travel: Up to 25% for site visits within Massachusetts Job Summary... ..., provider enrollment, network management, or provider relations in healthcare Intermediate proficiency with MS Excel and...SuggestedRemote work
Overture Partners
Lowell, MA5 hours ago $85k - $105k
...Provider Relations Specialist- MD Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating...SuggestedPermanent employmentFull timeTemporary workImmediate startRemote workMonday to FridayWeekend workAfternoon shiftAccanto Health
United States1 day ago- ...Professional Field Representative for a remote role in Wisconsin. This position involves serving as a liaison for Wisconsin Medicaid providers, focusing on education, issue resolution, and operational support. The ideal candidate will have at least 2 years of experience in...SuggestedRemote workFlexible hours
Gainwell Technologies
Madison, WI4 days ago $55k - $65k
...patient – centered approach to manage complex challenges for the group health, casualty and auto markets. Role Overview The Provider Relations Specialist serves as a key liaison between Carisk Partners and the provider community, helping to expand and strengthen our...SuggestedTemporary workWork at officeLocal areaRemote workFlexible hoursCarisk Partners
New York, NY1 day ago- Partners-Health-Management seeks a PN Relations Cross Functional Account Specialist to support and enhance provider relationships within the Health Network. This remote position requires strong organizational skills and a minimum of four years of experience in managed care...SuggestedRemote work
Partners Health Alliance
Gastonia, NC1 day ago $55k - $65k
...Carisk Partners, Inc. is seeking a Provider Relations Specialist to serve as a key liaison between the organization and the provider community. This role is crucial for expanding and strengthening the provider network to support injured workers in the Workers’ Compensation...Remote workCarisk Partners
New York, NY1 day ago- A major health care provider is seeking a Senior Provider Relations Representative for a remote role within WA, MO, or NC. This position focuses on resolving provider issues, enhancing provider relationships, and analyzing performance data. Ideal candidates should have...Remote work
UnitedHealthcare
Seattle, WA3 days ago $70k - $80k
...Provider Relations Specialist Department: Market Ops - Bay Area Employment Type: Full Time Location: 355 Gellert Blvd, S200, Daly City, CA 94015 Reporting To: Kevin Phan Compensation: $70,000 - $80,000 / year Description We are currently seeking...Full timeWork experience placementWork at officeMonday to FridayWeekend workAstrana Health, Inc.
Daly City, CA2 days ago- ...Job Description A national healthcare organization is seeking a Provider Relations / Network Development Specialist to support the expansion and maintenance of its provider network across Southeast and Midwest markets. This role is centered on provider outreach, relationship...Contract work
Insight Global
Tempe, AZ4 days ago - ...divh2Provider Relations / Network Development Specialist/h2pA national healthcare organization is seeking a Provider Relations / Network Development Specialist to support the expansion and maintenance of its provider network across Southeast and Midwest markets. This...Contract work
Insight Global
Tempe, AZ2 days ago - A leading personal injury law firm is seeking a Provider Relations Coordinator in Louisville, Kentucky. This role involves developing and servicing a high-quality provider network, communicating with internal departments, and managing medical liens. Ideal candidates will...
$54.3k - $119.34k
Capacity Path is looking for an experienced individual contributor to maintain relationships with high profile Medicaid providers in Louisville, KY. The role involves optimizing provider interactions, educating Medicaid providers, and supporting operational activities....Full time$25 - $32 per hour
...specializing in physical therapy, massage/wellness and fitness. We provide services to seven clinic locations across San Diego County... ...an upbeat, friendly, dedicated, results-driven Provider Relations & Growth Specialist to add to our growing team helping us to provide exemplary...Full timePart timePrivate practiceLocal area- The Hispanic Alliance for Career Enhancement in Austin, TX is seeking an individual to oversee provider relationships, handle complex issues, and collaborate across teams. The role involves educating providers on policies and procedures and supporting operational activities...
$54.3k - $119.34k
Capacity Path is seeking an individual contributor to manage relationships with high-profile Medicaid providers in Florence, Kentucky. This role requires at least 5 years of healthcare experience, with specific focus on Medicaid Managed Care. Responsibilities include provider...- Provider Relations Specialist (San Antonio) Department: Sales Employment Type: Permanent - Full Time Location: San Antonio, TX Description Our PATIENTS make us. Our VALUES guide us. Our CULTURE defines us. Our TEAM sets us apart. We are better together! Aspire Allergy...Permanent employmentFull timeWork at officeLocal area
$52k - $87k
...patients’ quality of life. As part of this team, you’ll work alongside top spine specialists in a supportive and forward‑thinking practice. Position Panorama is seeking a Provider Relations Specialist that will introduce and/or represent Panorama practice(s) in the...Temporary workWork at office- A healthcare company specializing in senior care is seeking a dedicated professional to enhance provider relations and support key performance indicators (KPIs). The ideal candidate will build and maintain collaborative relationships with healthcare providers, facilitate...Remote job
$60.2k - $107.4k
Optum is seeking a Provider Engagement Representative who will be responsible for managing business relationships with Skilled Nursing Facilities for the Michigan Medicaid program. This role includes conducting both in-person and virtual meetings to ensure effective communication...Remote job$72k - $80k
A healthcare organization is seeking a Provider Relations Specialist in Houston, responsible for supporting provider networks and ensuring compliance with regulations. This role requires frequent travel and duties include onboarding and maintaining communication with providers...$54.3k - $119.34k
...for Career Enhancement in Louisville, KY is seeking an experienced individual for a full-time role focused on supporting Medicaid providers. The position involves maintaining relationships, resolving complex issues, and providing education on policies. Candidates should...Full time- A family-owned private practice in San Diego is seeking a Provider Relations & Growth Specialist to enhance relationships with medical providers and expand services. The ideal candidate will possess strong communication skills and experience with CRM software, focusing...Full timePart timePrivate practiceFlexible hours
$72k - $80k
Provider Relations Specialist Department: Provider Relations Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX 77070 Reporting To: Terry Caston Compensation: $72,000 - $80,000 / year Description We are currently seeking a highly motivated Provider...Full timeWork experience placementWork at officeWeekend work$54.3k - $119.34k
...5 years of experience in healthcare and 3 years in Medicaid Managed Care. Responsibilities include maintaining relationships with providers, educating on compliance, and supporting operational needs. The position is full-time with an anticipated 40 hours weekly and offers...Full time- UPMC is seeking a full-time Provider Relations Representative to join the Network Management team. This hybrid role is based in Media, PA. The representative will manage provider relationships and ensure compliance with policies, procedures, and requirements. Ideal candidates...Full time
$68k - $75k
TriWest Healthcare Alliance is seeking a professional to support department leadership in managing provider networks. The role educates providers on agreements and reimbursement methodologies while ensuring high customer satisfaction. Candidates must have at least 3 years...Remote job- Longstreet Clinic, incorporated in Georgia is looking for a Provider Relations Specialist to enhance visibility and reputation. Responsibilities include managing communications, scheduling provider-related appointments, and acting as a liaison between departments. Candidates...Work at office
$19.84 - $38.69 per hour
...dynamic Growth & Community Engagement Sr Specialists in several areas of Florida. This role... ...with community-based organizations and providers to promote Molina's services. The Sr... ...with internal teams (Quality, Provider Relations, Medicare, and Marketplace) to align activities...Hourly payWork experience placementLive inWork at officeLocal areaFlexible hoursNight shiftWeekend workEarly shift- ClareMedica Health Partners LLC in Miami is seeking a Senior Provider Relations Representative to manage provider relationships and ensure operational alignment. The role involves onboarding providers, resolving operational issues, and supporting network performance. The...
- Position Overview We are seeking a motivated and detail-oriented Provider Relations Specialist to join our team in Cocoa, FL. This individual will play a key role in supporting and managing our nationwide provider network by onboarding, training, and maintaining strong...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Provider Relations Specialist. Be the first to apply!
Related searches
- vetting specialist United States
- protection specialist United States
- mental health specialist United States
- outreach specialist United States
- fixed income specialist United States
- community outreach specialist United States
- registration specialist United States
- accessibility specialist United States
- intake specialist United States
- bilingual specialist United States