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Entry Level Provider Network Development Jobs in Alabama

VIVA Health

Senior Provider Data Analyst

Birmingham, AL

$80K - $101K/yr

This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...

Viva Health

Senior Provider Data Analyst

Birmingham, AL · On-site

$80K - $101K/yr

This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and ...

VIVA Health

Credentialing Coordinator

Birmingham, AL

This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...

United Launch Alliance

Network Engineer 1

Decatur, AL · On-site

Any entrylevel certifications (CompTIA Network+, CCNA, or similar) * Experience with scripting or ... We value ethics, ingenuity, engagement and professional development for employees at all levels. We ...

United Launch Alliance

Network Engineer 1

Decatur, AL · On-site

Any entry-level certifications (CompTIA Network+, CCNA, or similar) * Experience with scripting or ... We value ethics, ingenuity, engagement and professional development for employees at all levels. We ...

i3

Network Administrator

Huntsville, AL · On-site

Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...

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Entry Level Provider Network Development information

What is an entry level provider network development?

An Entry Level Provider Network Development role involves assisting in building and maintaining relationships between healthcare providers and health insurance companies. Professionals in this position help with tasks such as recruiting new providers, ensuring contract compliance, and gathering necessary documentation. They support the network team by performing data entry, preparing reports, and communicating with providers to resolve any issues. This role serves as a foundation for understanding the healthcare network process and often provides opportunities for career growth within the industry.

What are some common challenges faced by entry level professionals in provider network development, and how can they overcome them?

Entry level professionals in provider network development often face challenges such as building relationships with healthcare providers, navigating complex insurance regulations, and quickly learning industry terminology. To overcome these hurdles, it helps to proactively seek mentorship from experienced colleagues, attend trainings or workshops, and regularly review internal documentation and industry guidelines. Strong communication skills and a willingness to ask questions can also make it easier to collaborate with team members and external partners, leading to greater confidence and success in the role.

What are the key skills and qualifications needed to thrive as an entry level provider network development professional?

To thrive as an Entry Level Provider Network Development professional, you need a basic understanding of healthcare systems, strong analytical skills, and a bachelor's degree in healthcare administration, business, or a related field. Familiarity with provider management software, claims processing systems, and proficiency in Microsoft Excel are commonly required technical competencies. Strong interpersonal communication, negotiation skills, and attention to detail help you build relationships with providers and manage contracts effectively. These skills are crucial for ensuring robust provider networks, supporting organizational goals, and maintaining compliance with regulatory requirements.

What is the difference between Entry Level Provider Network Development vs Entry Level Provider Relations Coordinator?

AspectEntry Level Provider Network DevelopmentEntry Level Provider Relations Coordinator
CredentialsTypically requires a bachelor's degree in healthcare, business, or related fieldSimilar educational background, often with healthcare or business focus
Work EnvironmentFocuses on building and managing provider networks, analyzing data, and strategic planningCenters on maintaining provider relationships, communication, and resolving provider issues
Employer & Industry UsageUsed in health insurance companies, managed care organizations, and healthcare networksCommon in insurance companies, healthcare providers, and provider organizations

While both roles involve healthcare provider interactions, Entry Level Provider Network Development emphasizes network expansion and strategic planning, whereas Entry Level Provider Relations Coordinator focuses on maintaining provider relationships and communication. Both roles require similar educational backgrounds and are vital in healthcare organizations, but they differ in daily responsibilities and focus areas.

What are the most commonly searched types of Provider Network Development jobs in Alabama? The most popular types of Provider Network Development jobs in Alabama are:
What cities in Alabama are hiring for Entry Level Provider Network Development jobs? Cities in Alabama with the most Entry Level Provider Network Development job openings:
Entry Level Provider Network Development jobs near you

Provider Services Representative

VIVA Health

Birmingham, AL

$16 - $19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

151st of 301 rated insurance

Job description

Provider Services Representative

Location: Birmingham, Alabama

Job Summary

The Provider Services Representative serves as the primary contact for the participating provider network in building and maintaining relationships and acts as an advocate for the Health Plan. This position will travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured in accordance with Company policy.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Key Responsibilities

  • Serve as primary contact for issues between providers and Health Plan developing rapport with established and prospective providers to build business relationships.
  • Maintain documentation of provider visits and interactions in database.
  • Develop and conduct programs to ensure providers know and understand health plan business policies and practices as described in Policies and Practices.
  • Coordinate with other departments to ensure effective communication and/or coordination of efforts concerning provider issues and projects. Complete Provider File Maintenance (PFM) forms to update provider information in computer systems.
  • Assist with provider credentialing and re-credentialing efforts.
  • Work with Network Development and Marketing and Sales to ensure network adequacy.
  • Assist in updating provider-related materials.
  • Educate providers and staff on changes to the Health Plan.

REQUIRED QUALIFICATIONS:

  • Bachelor’s Degree or equivalent experience in provider relations or similar field
  • 2 years’ experience in customer service, marketing, or working with/in a physician’s office
  • Proficient in standard Microsoft Office software
  • Ability to organize ideas and communicate messages through various mediums including group presentations appropriate to listeners and situations
  • Valid driver's license in good standing
  • May require significant face-to-face member contact with duties regularly
    performed away from the principal place of business
  • Willing to submit to vaccine testing and screening

PREFERRED QUALIFICATIONS:

  • Bachelor’s Degree in a health-related field
  • 3 years’ experience in insurance claims, physician’s office, customer service, or marketing

What Viva Health employees say

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