Provider Network Specialist

1 month ago


Atlanta, United States A-Line Staffing Solutions Full time

Job Title: Provider Network Specialist

Location: Remote

Pay Rate : 23-24/hr

Schedule: Monday to Friday, 8:00 am to 5:00 pm

Description: Join our team as a Provider Network Specialist, where you'll play a crucial role in ensuring the integrity and accuracy of our provider network data. You'll perform data maintenance and clean-up, collaborate with internal teams to implement new networks and contractual arrangements, and conduct audits to identify and resolve issues promptly.

Responsibilities:

  • Perform data maintenance and clean-up for data transactions
  • Update provider demographic and contract information in appropriate systems
  • Collaborate with internal/external stakeholders to implement new networks and contractual arrangements
  • Identify and analyze root causes of issues and recommend process improvements
  • Conduct audits of provider information and escalate issues for resolution

Qualifications:

  • Experience in provider credentialing
  • Proficiency in working with large datasets (Excel, Google Sheets, etc.)
  • Knowledge of Medicaid provider data, provider relations, or provider contracting
  • Project management experience in highly matrixed organizations
  • Familiarity with tools like Quick Base, Excel, Adobe, and Quest for working with provider data
  • Strong collaboration and communication skills

Education: High School Diploma or equivalent



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