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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 · 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. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...

ROYAL CONSULTING INC

Be Seen First

Entry Level Sales Representative

Huntsville, AL · On-site

$800 - $1.0K/wk

Paid, hands-on training with ongoing coaching and development * Clear, merit-based advancement ... Opportunities for networking and professional growth What We're Looking For * Strong communication ...

ROYAL CONSULTING INC

Be Seen First

Entry Level Sales Representative

Huntsville, AL · On-site

$800 - $1.0K/wk

Paid, hands-on training with ongoing coaching and development * Clear, merit-based advancement ... Opportunities for networking and professional growth What We're Looking For * Strong communication ...

Archarithms Inc

Cloud Network Engineer

Huntsville, AL · On-site

Arcarithm is currently seeking top talent in the areas of full stack software development ... Cloud‑to‑Cloud Routing - Experience routing traffic between multiple cloud service provider ...

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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 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 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 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

Senior Provider Data Analyst

Birmingham, AL

Triton Health Systems
See more jobs at Triton Health Systemsexternal

$80K - $101K/yr

Full-time

Posted 27 days ago

Job description

VIVA HEALTH, ranked one of the Best Places to Work by Modern Healthcare, has an exciting opportunity for a Senior Provider Data Analyst position in Birmingham, AL!

The Senior Provider Data Analyst  is responsible for supporting and developing VIVA HEALTH’S Provider Services initiatives through data analytics, operational reporting, business intelligence and decision support. This role requires highly efficient This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and other business areas to develop reporting, analyze provider and network performance, identify operational improvement opportunities, and support strategic initiatives on department Key Performance Indicator (KPIs).This role requires highly efficient use of data organization and manipulation techniques to produce reporting and provide analytical reasoning on key department indicators relative to standardized benchmarks or norms and company performance goals. This individual will monitor the outcomes of key indicators including health care quality measures, population health outcomes, member experience and surveys, as well as utilization, cost and other operational metrics. The position is responsible for the development, maintenance and presentation of data driven KPI dashboards and other related information and materials to both internal and external audiences.

REQUIRED:

  • Bachelor’s degree in Business, Public Health, Health Care Administration, MIS, HIS, Statistics or related field
  • Minimum of 3 years’ experience with data analysis techniques and interpretation
  • Minimum of 1 year experience working with health care data
  • Advanced proficiency in Microsoft Excel including Pivot Tables, Power Query, advanced formulas, conditional formatting, lookup functions and data visualization
  • Intermediate to advanced SQL programming skills with demonstrated experience writing and optimizing complex queries against relational databases
  • Hands-on experience using Microsoft SQL Server or similar relational database platforms
  • Demonstrated ability developing dashboards utilizing Tableau, Power BI or similar business intelligence software
  • Strong understanding of healthcare claims, provider, membership, financial, quality and operational data
  • Demonstrated ability to organize, manipulate, validate and interpret large, complex healthcare datasets
  • Strong analytical and critical thinking skills with the ability to independently identify issues and recommend solutions
  • Demonstrated ability to translate complex analytical findings into concise, actionable recommendations for operational and executive leadership
  • Excellent written and verbal communication skills
  • Strong organizational skills with the ability to prioritize multiple projects and competing deadlines
  • Ability to work independently while collaborating effectively across multidisciplinary teams
  • Strong attention to detail and commitment to data accuracy
  • Self-directed with demonstrated initiative and continuous process improvement mindset

PREFERRED:

  • Master's degree in a related field (MBA,MHA, MPH or MS in Analytics)
  • Experience in managed care or health plan analytics, particularly value-based care, provider contracting or Medicare Advantage
  • Experience supporting executive reporting and strategic planning initiatives
  • Sigma Six Green Belt or higher 
  • Hands-on experience with Tableau, Power BI, SAS, Crystal Reports or similar reporting and visualization platforms
  • Knowledge of Medicare Advantage, Commercial Health Plans, provider network operations, value-based care arrangements, accountable care organizations or provider contracting
  • Familiarity with HEDIS, Stars, CMS reporting, provider quality measures or provider performance measurement