Network Notification Specialist

Job Purpose The Network Notification Specialist is responsible for managing and maintaining provider data held within the Company’s provider network software databases (Cactus and our internal claim system). Essential Job Duties Updates Cactus with any add, changes or terminations of providers (Directly credentialed and Delegated providers) Updates Out of Network providers within our internal claim system Updates and manages provider payment preference within our internal claim system Triages and maps provider claim information within our internal claim system Pulls updates from Cactus to send weekly to the TPA's Creates / provides reporting on a weekly / monthly basis or as requested by team or management Sends fee schedules / rate changes to TPAs as needed Sends opt-ins and updates to the Medicaid CMOs on a weekly or monthly basis as required by the CMOs Sends monthly reporting to various contracted entities (i.e., PHS-CI, payer rosters, etc.) Conducts system audits as part of our internal QA Maintains online provider directories Participates in data integrity projects as requested by team or management Stays involved in every aspect of data maintenance to the system Maintains regular and predictable attendance Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice Works to encourage and promote Company culture throughout the organization Other duties as may be assigned Qualifications High School Diploma or equivalent Excellent organizational, project management, prioritization, and time management skills Experience using Microsoft software including, Excel, Word, and Outlook Physical Requirements Prolonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities. Must be able to drive a vehicle and daytime/overnight travel as required. Benefits 401K (4% Match, Immediate Vesting) Accident insurance Competitive salary Critical Illness Insurance Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D Insurance Long Term Disability Medical Insurance Paid Time Off Pet Insurance Short Term Disability Vision Insurance Equal Opportunity Employer HealthOne is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status or any other status protected by state or federal law. #J-18808-Ljbffr