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- ...grab a bite (or a cup of coffee), work out or get a check-up - we invest in you so you can find your inspiration.Your ImpactThe PROvider Network Specialist is primarily responsible for completing specific activities in support of maintaining the health and accuracy of...SuggestedFull timeFor contractorsWork at officeLocal area
- ...Serving as a key point of contact for providers, the full-time remote Provider Network Specialist will deliver first-line support for network-related inquiries, focusing on provider contracting, credentialing, and network participation status while ensuring high-quality...SuggestedFull timeWork at officeRemote workFlexible hours
Virtual Vocations Inc
United States3 days ago - ...Provider Network SpecialistWe are seeking a Provider Network Specialist to join our team at Independent Living Systems (ILS). ILS, along... ...health plan, contractual, and organizational requirements by assisting with audits, delegated oversight activities, operational reviews...Suggested
Independent Living Systems LLC
Glendale, CA3 days ago - ...Provider Network SpecialistThe 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
Advanced Behavioral Health, Inc.
Middletown, CT3 days ago - ...As a Provider Network Specialist, you will play a pivotal role in managing and enhancing relationships within our provider network. This position... ...Experience with or ability to learn the NVA system to assist in provider set up Responds to mail and emails received from...SuggestedTemporary workWork at officeFlexible hours
Benecard Services, Inc.
Clifton, NJ4 days ago - ...This role focuses on recruiting medical offices for our expanding national networks. The ideal candidate will be responsible for building and maintaining strong relationships with providers while managing the recruitment process from initial contact to onboarding and...Suggested
NationsBenefits, LLC
Plantation, FL1 day ago - ...Provider Network Service RepresentativeThe Provider Network Management team is excited to announce an opening for a Provider Network Service... ...BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes...SuggestedWork at officeFlexible hours
BlueCross BlueShield of Tennessee
Chattanooga, TN2 days ago $70.3k - $80k
...731 Compensation: $70,304 - $80,000 / year Description The Provider Network Specialist supports the operational execution and day-to-day... ...participation data across internal systems and health plan files Assist with network configuration, provider assignments, and panel...SuggestedWork at office- AltaMed Health Services is seeking a Provider Network Administrator to join their team in Montebello, CA. In this hybrid role, you will negotiate and maintain provider contracts while ensuring high-quality and cost-effective network management to support organizational...Suggested
- Truck Tire Now Technologies, Inc. is seeking a Network Operations & Provider Relations Specialist to manage onboarding, credentialing, and ongoing administration of our nationwide network of roadside tire service professionals. You will guide applicants, verify documentation...Suggested
- Advanced Behavioral Health, Inc. in New York is seeking a Provider Network Specialist to support provider credentialing under multiple contracts and collect quality of service data for the service provider network. The Wraparound Funding Specialist handles fund requests...Suggested
- IPA, Network Provider Specialist [DALLAS]The IPA Provider Network Specialist manages the physician network by developing and maintaining... ...and rate structures.Skills to provide training and technical assistance to contracted providers.Skills to evaluate and assess provider...SuggestedFull timeContract work
- The Provider Network Specialist provides support to complete activities associated with credentialing of providers under several contracts... ...compliance with standards Maintain files, provide technical assistance to providers Orientation and education of providers to...SuggestedContract workWork experience placementWork at officeShift work
- 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
- ...dedicated to removing barriers to care and expanding access to mental health support. As a Provider Acquisition Specialist, you will recruit licensed therapists to scale our network, engaging through emails, calls, and appointments, while collaborating with onboarding...SuggestedRemote job
- 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
- Alliance Health in Morrisville, NC is seeking a Provider Relations Specialist to recruit providers, build a strong network, and sustain ongoing provider relationships.... ...manage recruitment projects, and provide technical assistance. Experience with provider networks and managed...Remote jobWork at office
- AltaMed is seeking a Provider Network Administrator to negotiate, administer, and maintain contracts with PCPs, specialists, hospitals, and other providers. You will identify and onboard new providers, ensure regulatory compliance, and build strong partnerships to support...
- Nutex Holdco LLC in Dallas seeks an IPA Provider Network Specialist to manage the physician network across IPA/Medical Groups. This full-time role requires travel and working under general supervision to build and maintain provider relationships. You will analyze data,...Full time
- Nexus HR in El Monte, CA is seeking a Provider Relations Specialist to develop and manage provider networks, contracts, and education for an IPA-based program. The role supports network development, negotiates contracts, and reviews HEDIS measures while ensuring access...
- ...expected to be in or within a commutable distance of Mariposa & Merced counties. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Provider Network Development Manager, this position: Conducts and coordinates professional level healthcare provider recruitment efforts and...Full timeTemporary workPart timeLive inWork at officeLocal areaRemote work
- Medica, a nonprofit health plan serving Minnesota and beyond, seeks a Provider Network Contracts professional to develop and maintain a competitive provider network and negotiate contracts in line with reimbursement standards. The role emphasizes strong provider relationships...Contract work
$39.45 - $61.24 per hour
Job Description 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...Full timeContract workLocal areaShift work- Oscar is seeking a healthcare contracting professional to manage contracts with key providers, focusing on optimizing costs and ensuring access to quality care. This role requires a hybrid work schedule based in New York City, with specific in-office requirements. The ideal...Contract workWork at office
- 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 is seeking an Associate, Network Contracting to manage contracts with healthcare providers in Tempe, Arizona. The role involves negotiating favorable contract terms and supporting network strategies while ensuring compliance. The ideal candidate will have over 3 years...Contract work
- Medica Services Company LLC, a nonprofit health plan serving Minnesota and surrounding states, seeks a Provider Network Manager to develop and maintain a competitive provider network and manage cost performance and trend reporting. You will negotiate contracts, build strong...
- Responsibilities Responsible for the development and maintenance of the Network Plan the provider handbook. Responsible for evaluation of the adequacy of the network. Assuring that the network meets URAC and DoD standards. Compliance with all elements of the TRICARE...Contract work
- Molina Healthcare in New York, NY is seeking a provider network administrator to support data maintenance for provider information across claims... ...with Microsoft Office; you will validate data and assist in network projects. You will liaise with internal teams and...Work at office
- ...Job Title Responsible for updating, maintaining and researching a variety of provider file information in multiple systems Qualifications Required Work Experience ~1 year of experience in general business field (level 1) ~3 years of experience in general business...Remote jobFull timeContract workWork experience placementWork at office
