- Medical Mutual of Ohio (OH)
- …policies and procedures. Provides onboarding and annual training to provider network management staff. . Contributes to ensuring compliance with NCQA ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million.... 3 years progressive experience in provider network relations, health plan accreditation, or compliance .… more
- Oneida Technical Solutions (Leesville, LA)
- …Specialist Location: Fort Johnson DCWF Code: 441 - Network Operations Specialist Clearance Level: Secret Compliance : DOD 8140 Position Overview: The ... Network Administrator/Lead Net Ops Specialist will oversee the management and...of the network , leading a team of network professionals to provide seamless network… more
- Baylor Scott & White Health (Temple, TX)
- …and the Network Issues Committee. + Reviews, examines, and studies provider contracts to validate negotiated rates are consistent and within the recommended ... **JOB SUMMARY** The Reimbursement Audit Specialist prepares and monitors reimbursement schedules with hospitals, physicians and ancillary providers based upon the… more
- Molina Healthcare (Florence, KY)
- …support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business ... must live in the United States _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and… more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a ** Provider Relations Specialist ** **(1 Year Exp Req)** ! This is a full-time contract position at a nationally ... providers on our DME product offerings, usage guidelines, and compliance requirements. + Work with providers to secure the...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
- Avera (Sioux Falls, SD)
- … is responsible for providing exceptional service to the Avera Health Plans delivery network . + The Provider Relations Specialist is responsible for the ... expansion of the Avera Health Plans network and the building of new networks that support...policies and procedures. + The Provider Relations Specialist builds positive business relationships and assures compliance… more
- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... relationships.Maintains the provider operations manual, and provider communications to ensure compliance with regulations...to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates… more
- Molina Healthcare (ID)
- …and/or Applications sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist directory). **Job ... Idaho _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.… more
- Marshfield Clinic (Marshfield, WI)
- …works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver ... together to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost… more
- Molina Healthcare (CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations....negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans… more
- Randstad US (San Antonio, TX)
- provider data specialist . + san antonio , texas + posted october 4, 2024 **job details** summary + $19.50 - $20.50 per hour + temporary + high school + category ... to talk to you. Apply today to be a Provider Database Specialist ! salary: $19.5 - $20.5...within the practice + Process and track requests for network such as, accessibility reports,disruption and adequacy reports, … more
- Molina Healthcare (Seattle, WA)
- …existing healthcare quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality ... and monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more… more
- Molina Healthcare (Detroit, MI)
- …existing healthcare quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality ... and between other departments within the organization or with and between key provider network partners. + Evaluates project/program activities and results to… more
- BayCare Health System (Tampa, FL)
- …to 4:00 PM (may vary) + **Days:** Monday through Friday The **Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team member ... Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa:Concourse Center |… more
- Oneida Technical Solutions (Leesville, LA)
- …must be eligible for T5 investigation Compliance : DOD 8140 Position Overview: The Network Administrator 1 / Net Ops Specialist at Fort Johnson is responsible ... successful contract award to Oneida Technical Solutions. Job Description: Network Administrator 1 / Net Ops Specialist ...work closely with a team of IT professionals to provide seamless network operations, troubleshoot issues, and… more
- Highmark Health (Columbus, OH)
- …importance of compliance with these processes. (15%) + Obtains updated provider information from various sources including provider offices, state licensing ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Coordinates and facilitates the enrollment of Allegheny Clinic professional… more
- BayCare Health System (Tampa, FL)
- …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Provider Recruitment Specialist :** + Supports the growth of BayCare ... Hours:** 8:30am - 5:00pm Equal Opportunity Employer Veterans/Disabled **Position** Provider Recruitment Specialist **Location** Tampa:Concourse Center | Business… more
- Marriott (Nashville, TN)
- …applies sound business acumen to support property and technology (IT) objectives. The Network Specialist , in conjunction with the other property leadership, is ... responsible for assisting with technology planning, implementation, and maintenance. The Network Specialist , interfaces with vendors,and property staff. The … more
- Air National Guard Units (Mcconnell AFB, KS)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST ( NETWORK ), Position Description Number D2181P01 and is part of the KS ... 184 Intelligence Wing, National Guard. Responsibilities An IT SPECIALIST ( NETWORK ), GS-2210-11, administers the base Local...needs of customers. Determines if the facility environment can provide for network system requirements, and if… more