Network Management Specialist
1 month ago
Top Skills: Provider recruitment and contracting experience Knowledge of NCQA requirement Customer service experience Intermediate Microsoft Office Suite skills (Excel, PowerPoint) Ability to work independently and prioritize tasks Sales experience Military experience/background (Nice to have) Bilingual proficiency in Spanish and English (Nice to have) JOB DESCRIPTION: Assesses network needs, analyzes network composition, and using organization databases, application of regulatory requirements, accreditation entities and other resources, recruits individual, group and/or organizational providers to meet network adequacy standards and assure quality network. Conducts and coordinates contracting and amendment initiatives. Provides issue resolution and complex trouble shooting for providers. Conducts provider education and provider relation activities, providing necessary written materials. Conducts administrative provider site visits and coordinates report development and completion according to contractual requirements or ad hoc requests. Coordinates Public Policy Research Center (PPRC) activities to assure maintenance of current credentialing status, and evaluation and appropriate actions of quality of care issues and complaints against providers. Conducts and manages ongoing audits of provider compliance with Magellan policies and procedures as well as contractual obligations for multiple customers. Develops work plans to address audit requirements. Works with management to draft, clarify and recommend changes to policies which impact network management. RESPONSIBILITIES: Knowledge of National Committee for Quality Assurance (NCQA) requirements. Ability to work independently and prioritize activities. Intermediate knowledge of Microsoft Office Suite, specifically Excel. Strong presentations skills using PowerPoint. Minimum of 1 year experience in related position/field. Previous experience in a network development, provider recruitment or provider contracting. WORK EXPERIENCE: Network 1+ years EDUCATION: Bachelors (Preferred)
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Network Management Specialist
1 month ago
Overland Park, United States Saicon Consultants Inc. Full timeTop Skills: Provider recruitment and contracting experience Knowledge of NCQA requirement Customer service experience Intermediate Microsoft Office Suite skills (Excel, PowerPoint) Ability to work independently and prioritize tasks Sales experience Military experience/background (Nice to have) Bilingual proficiency in Spanish and English (Nice to...
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Network Support Specialist
2 months ago
Brooklyn Park, Minnesota, United States MRA-The Management Association Full timeJOB TITLE: Network Support Specialist COMPANY: Scherer Bros. Lumber Co.LOCATION: Brooklyn Park, MN Corporate OfficeDo you have a passion for technology and a strong desire to make a significant contribution to a dynamic IT team? We are currently looking for a Network Support Specialist to join our team here at Scherer Bros. Lumber Co. In this role, you'll be...
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Network Support Specialist
1 week ago
Brooklyn Park, Minnesota, United States MRA-The Management Association Full timeJOB TITLE: Network Support Specialist COMPANY: Scherer Bros. Lumber Co.LOCATION: Brooklyn Park, MN Corporate OfficeDo you have a passion for technology and a strong desire to make a significant contribution to a dynamic IT team? We are currently looking for a Network Support Specialist to join our team here at Scherer Bros. Lumber Co. In this role, you'll be...
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Network Support Specialist
1 week ago
Brooklyn Park, United States MRA-The Management Association Full timeJOB TITLE: Network Support Specialist COMPANY: Scherer Bros. Lumber Co. LOCATION: Brooklyn Park, MN Corporate Office Do you have a passion for technology and a strong desire to make a significant contribution to a dynamic IT team? We are currently looking for a Network Support Specialist to join our team here at Scherer Bros. Lumber Co. In this...
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Network Support Specialist
2 months ago
Brooklyn Park, United States MRA-The Management Association Full timeJOB TITLE: Network Support Specialist COMPANY: Scherer Bros. Lumber Co. LOCATION: Brooklyn Park, MN Corporate Office Do you have a passion for technology and a strong desire to make a significant contribution to a dynamic IT team? We are currently looking for a Network Support Specialist to join our team here at Scherer Bros. Lumber Co. In this...
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Senior Network Engineer
1 month ago
Overland Park, United States Ubiquity Management Group Full timeJob Description Job Description Salary: At Ubiquity, you'll have an outstanding opportunity. The chance to use your skills and imagination to push the boundaries of what's possible. To build solutions never seen before to some of the world’s toughest problems. You'll be challenged, but you won’t be alone. You'll be joining a team of diverse innovators,...
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Senior Network Engineer
4 weeks ago
Overland Park, United States Ubiquity Management Group Full timeJob DescriptionJob DescriptionSalary: At Ubiquity, you'll have an outstanding opportunity. The chance to use your skills and imagination to push the boundaries of what's possible. To build solutions never seen before to some of the world’s toughest problems. You'll be challenged, but you won’t be alone. You'll be joining a team of diverse...
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NOC Specialist
4 weeks ago
Overland Park, United States Camtel Full timePosition Purpose/SummaryFastwyre Broadband is committed to providing the highest quality of service to the communities, customers, and employees we serve. We are looking for a Network Operations Specialist to join our Network Operations Center (NOC) and be part of the Network Operations team responsible for monitoring and supporting our network. As a Network...
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NOC Specialist
1 week ago
Overland Park, United States Camtel Full timePosition Purpose/SummaryFastwyre Broadband is committed to providing the highest quality of service to the communities, customers, and employees we serve. We are looking for a Network Operations Specialist to join our Network Operations Center (NOC) and be part of the Network Operations team responsible for monitoring and supporting our network. As a Network...
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Network Engineer
10 hours ago
Overland Park, United States RiverPoint Full timeJob DescriptionJob DescriptionNetwork Engineer The Network Engineer is responsible for creating, implementing and maintaining networks for managed services customers. This position involves critical duties and responsibilities that must continue to be performed during crisis situations and contingency operations, which may necessitate extended hours of work....
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Provider Network Manager Sr
2 weeks ago
Overland Park, United States Elevance Health Full timeJob Description : Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and...
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Provider Network Manager Sr
1 week ago
Overland Park, United States Elevance Health Full timeJob Description : Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed Position Overview: Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and...
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NOC Specialist
4 weeks ago
Overland Park, KS, United States Camtel Full timePosition Purpose/SummaryFastwyre Broadband is committed to providing the highest quality of service to the communities, customers, and employees we serve. We are looking for a Network Operations Specialist to join our Network Operations Center (NOC) and be part of the Network Operations team responsible for monitoring and supporting our network. As a Network...
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Collections Specialist l
3 weeks ago
Overland Park, United States Mainspring Management LLC Full timeJob DescriptionJob DescriptionSummary of PositionThe Recovery Specialist plays a key role within the organization to contact clients and collectoutstanding payments. You will strike a balance between maintaining trustful relationships, andensuring timely payments. The Recovery Specialist also need to ensure that all work is performed incompliance with...
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Collections Specialist l
2 months ago
Overland Park, United States Mainspring Management LLC Full timeJob DescriptionJob DescriptionSummary of PositionThe Recovery Specialist plays a key role within the organization to contact clients and collectoutstanding payments. You will strike a balance between maintaining trustful relationships, andensuring timely payments. The Recovery Specialist also need to ensure that all work is performed incompliance with...
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New Loans Specialist
4 weeks ago
Overland Park, United States Mainspring Management, LLC Full timeIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.New Loans Specialist Full Time Professional Headquarters - Mainspring Management, Overland Park, KS, US16 days ago Requisition ID: 1001Mainspring Management is a fintech venture backed company that is...
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Cloud Network Architect
7 days ago
Overland Park, Kansas, United States Zurich Insurance Company Ltd. Full timeZurich North America is currently recruiting for a Cloud Network Architect and this person can work either in our Schaumburg North America HQ or can work remotely. This person will report to the Application Portfolio Manager – Infrastructure and Operations, Public Cloud. This role will be a SME for ZNA public cloud networking functions and the primary...
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New Loans Specialist
1 month ago
Overland Park, United States Mainspring Management, LLC Full timeIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. New Loans Specialist Full Time Professional Headquarters - Mainspring Management, Overland Park, KS, US 16 days ago Requisition ID: 1001 Mainspring Management is a fintech venture backed company that is...
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Marketing and Communication Specialist
3 weeks ago
Overland Park, United States Insperity Full timeAre you ready to revolutionize how we connect, engage, and inspire our audience? Do you thrive in dynamic environments where creativity and innovation are celebrated? If so, we want YOU to join our team as a Marketing and Communications Specialist! Prosperity Advisors LLC ( www.prosperityadvisors.com ) , founded in 1989, is a full-service financial planning...
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GIS Engineering Specialist
6 hours ago
Overland Park, United States BHC Full timeJob Details Description The GIS Engineering Specialist in the Utilities Group utilizes Geographic Information System (GIS) to contribute to various utility projects across the group and perform detailed activities on assigned projects. Who We Are Our everyday work impacts how people do everyday living, through improved connectivity,...