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$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$55k - $60k
...to 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...SuggestedHourly payFull timeLive inRemote work- ...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...SuggestedRemote work
Virtual Vocations Inc
United States2 days ago - ...responsible for recruiting medical facilities into Acuity's worldwide provider network and acting as their primary liaison with the company.... .../entities.· Communicates with the Acuity Program Managers, Assistant Program Managers, and other key stakeholders to resolve...SuggestedFull timeContract workRemote workWork from home
Acuity International
Cape Canaveral, FL4 days ago $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...SuggestedFull timeContract workPart timeH1bWork at officeRemote workFlexible hours- 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...Suggested
- ...This is one position split between 2 departments: The Provider Network Specialist provides support to complete activities associated... ...with standards · maintain files, provide technical assistance to providers; · orientation and education of...SuggestedContract workWork experience placementWork at officeShift work
Advanced Behavioral Health, Inc
Middletown, CT14 days ago - The Provider Network Specialist plays a critical role in managing and executing Single Referral Agreements (SRAs) to ensure timely access to... ...and ensuring compliance with onboarding requirements. Assist with SRA-to-contract conversion initiatives in collaboration...SuggestedContract work
- ...Provider Network Specialist The Provider Network Specialist provides support to complete activities associated with credentialing of providers... ..., and updating materials as needed and requested; Assist in maintenance of an updated list of credentialed providers for...SuggestedWork experience placementWork at office
- 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...SuggestedFor contractors
$22.5 - $25 per hour
...for an accommodation or an alternative application process. Provider Network Specialist II Full Time Diamond Bar, CA, US Salary Range: $2... ...credentialing processes, to support efficiency and compliance. Assists the Vendor Network Manager with monthly reporting on pending...SuggestedHourly payFull timeContract workFor subcontractorWork at officeRemote workFlexible hoursAfternoon shift- 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...Suggested
- 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...SuggestedMinimum wageContract workLocal areaShift work
Providence Health & Services
Renton, WA4 days ago - 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...SuggestedRemote jobFor contractors
- 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...SuggestedContract 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
- Parkland Health and Hospital System in Dallas seeks a Provider Relations Representative to act as the primary liaison between providers and the Parkland health plan network. You will recruit new providers, support negotiations, and advance network development for behavioral...Contract work
- 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
- 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
$90.28k - $119.17k
Provider Network Management Senior Associate Newark, NJ, USA Location & Work Environment: This is a hybrid, field-based opportunity supporting the Newark market. The successful candidate must be based in Newark, NJ , or within a reasonable commuting distance, and be comfortable...- 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,...For subcontractor
- 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
- 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...
- ...activities related to developing, maintaining and expanding the network of providers, including development, administration and negotiation of... ...for negotiating amendments to contracts Responsible for assisting in maintaining the integrity of the provider data base...Contract work
DOCTORS HEALTHCARE PLANS, INC.
Miami, FL5 days ago - Magellan Health, Inc. is seeking a Network Management Specialist in the United States to support network development and administration across physician, practitioner, group and facility providers. The role coordinates with multiple business units to ensure network adequacy...Contract 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,...
- 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
$85k - $90k
...Description Job Description JOB SUMMARY Provider Contracting Specialist is a specialized... ...need and maintain a comprehensive network; collaborates with utilization management... ...performance improvement opportunities Assist with initial applications for completeness...Contract workWork at officeImmediate startRemote workMonday to FridaySVCMC Inc
New York, NY5 days ago- HCSC in Austin, TX is seeking a skilled provider relations professional to plan and direct recruitment and contracting activities, educate providers on plan benefits and reimbursement, and provide ongoing service and support. The ideal candidate has a bachelor’s in business...Work at office
