- CenterLight Health System (Flushing, NY)
- …the Director of Provider Data Operations & Network Analytics, the Provider Data Network Specialist supports the management and maintenance of ... internal staff (Physicians, Nurse Practitioners). + Triage regular and troubleshoot ad-hoc provider network data /system cleaning, loading, and reporting… more
- Ventura County (Ventura, CA)
- …have highly developed data network knowledge and skills, the Data Communications Specialist is responsible for establishing and maintaining a high level ... Telecommunications Data Specialist Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4544871) Apply ...highest level of escalation support for the resolution of data network problems; directs and manages any… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To ... the network ; and to expand and develop provider network . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +...business in the managed care markets. + Analyzes market data and financial models. + Prepares, negotiates, and administers… more
- Centene Corporation (Tucson, AZ)
- …educational outreach with a focus on improving quality and financial outcomes within the provider network . Act as liaison between providers and the health plan ... to enhance the business relationship. + Conduct initial provider orientations as well as ongoing educational outreach + Educate providers regarding policies and… more
- CVS Health (St. Paul, MN)
- …internal and external customers. Position Summary/Mission Performs routine quality audits for network operations, and claim testing for PPO Network creation. ... of assigned functional unit (*) * Perform analysis of data to identify and communicate trends during day to...May perform or assist with special projects/reviews * May provide technical or subject matter expertise concerning policies, procedures,… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. Position Summary Maintains the Provider Data (demographic and contractual) for all network and non- network ... provider information is accurately recorded and maintained to provide for proper reimbursement and member access (ie, directory...Required Qualifications - 1-3 years of Provider Data Services background. - 1-3 years Network … more
- CVS Health (Richmond, VA)
- …from home in VA preferred, fully remote role. - Maintains the Provider Data (demographic and contractual) for all network and non- network providers. ... with other departments regarding database improvements.- Provides support for baseline provider data transactions that cannot be administered automatically… more
- CareOregon (Portland, OR)
- …potential providers that may enhance the network . + Obtain and review provider application data ; submit to provider contracting staff. Administration + ... and other internal Behavorial Health focused teams, and suppoorts the Behavorial Helath Provider Network . Job Summary This position operates in a team leadership… more
- Magellan Health Services (Boise, ID)
- …Office suite and data entry experience . General Job Information Title Provider Engagement Specialist - Tribal Outreach Liaison Grade 23 Work Experience - ... engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of... adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide… more
- CareOregon (Portland, OR)
- …potential providers that may enhance the network . + Obtain and review provider application data ; submit to provider contracting staff. + Collaborate ... and other internal Behavioral Health focused teams and supports the Behavioral Health Provider Network . Job Summary This position serves as a primary liaison… more
- Molina Healthcare (NY)
- …must live in New York _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... business rules as they apply to each database. Validate data to be housed on provider databases...negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …and add on applications and maintenance processes. + Collect and verify sensitive provider data through confidential sources. + Maintain timely updates to ... regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental,...a mandatory COVID-19 and flu vaccine organization Credentialing & Provider Enrollment Specialist - Posting #26191 Hourly… more
- CareFirst (Baltimore, MD)
- … contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals. In ... contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network ...and gain consensus with other internal areas affected by network changes. + Provide ongoing network… more
- Elevance Health (Topeka, KS)
- …system. + Prepare the information for timely and accurate submission to the Provider Data Management area. + Ensure updates/changes for existing network ... ** Provider Contract Specialist ** **Location:** This position...the process for new and existing providers joining the network including creating standard contracts for providers as needed.… more
- Molina Healthcare (AZ)
- …existing healthcare quality improvement initiatives and education programs specific to the Provider Network ; ensures maintenance of Provider Quality ... on application. This position will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist , ... and analytic insights. * Acts as a lead specialist to provide project-, program-, and /… more
- Elderwood (Buffalo, NY)
- …of Health (NYSDOH); resolves any PNDS errors. + Communicates with the NYSDOH regarding provider network data submission. Maintains and updates provider ... Overview Elderwood Independent Practice Association (IPA) is seeking an Provider Relations Specialist to join our incredible growing team of professionals. Why… more
- Ventura County (Ventura, CA)
- Telecommunications Network Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4534410) Apply Telecommunications Network ... under general supervision (I) or under direction (II), the Telecommunications Network Specialist (TNS) for this assignment installs, maintains, modifies… 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 ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims...negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans… more
- University of Washington (Seattle, WA)
- …and collaborates with UW partners to develop strategic customer solutions. The Network Specialist in CX is responsible for providing frontline in-depth ... and applications using a variety of IT disciplines, technologies and toolsets. The Network Specialist partners with other UW-IT service teams in the development,… more
- Guthrie (Sayre, PA)
- …performed by providers. Of key importance is accurate and timely entry of provider data , resolving issues and barriers with payor credentialing teams. Proactive ... Position Summary: The Provider Enrollment Specialist reporting to the...practitioners. 2. Develop and facilitate all required enrollment/re‐enrollment application data and associated correspondence in a timely manner for… more