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Provider Network Specialist
1 month ago
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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