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Entry Level Provider Network Development Jobs in Georgia

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

Network Technician

Warner Robins, GA

$21.50 - $27.50/hr

We are looking for a skilled Network Technician to undertake tasks of network development and ... Provide technical direction to co-workers on the computer and network usage and offer comprehensive ...

Project, Manager, Development

Atlanta, GA · On-site

$71.90K - $129.70K/yr

Job Overview This role provides project management for leasing, zoning, permitting, regulatory ... The role supports network development and modification activities including real estate ...

Be Seen First

Client Representative - Entry Level Sales About 3MP Atlanta 3MP Atlanta is a fast-growing sales and ... Leadership development & mentoring * Team events, travel opportunities, and networking * Positive ...

New

Entry Level Marketing

Woodstock, GA · On-site

$39.70K - $49.10K/yr

... Development, Marketing) * Staying up to date on product knowledge to provide five-star service ... Interns and entry level employees are to represent our company with professionalism and practice ...

Be Seen First

Client Representative - Entry Level Sales About 3MP Atlanta 3MP Atlanta is a fast-growing sales and ... Leadership development & mentoring * Team events, travel opportunities, and networking * Positive ...

New

Our team is made up of driven and ambitious individuals dedicated to providing top-quality services ... development of new team members. The Entry Level Management Associate will achieve success by ...

Our team is made up of driven and ambitious individuals dedicated to providing top-quality services ... development of new team members. The Entry Level Management Associate will achieve success by ...

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Showing results 1-20

Entry Level Provider Network Development information

What are the key skills and qualifications needed to thrive as an Entry Level Provider Network Development professional, and why are they important?

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 an Entry Level Provider Network Development role?

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 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 Georgia? The most popular types of Provider Network Development jobs in Georgia are:
What cities in Georgia are hiring for Entry Level Provider Network Development jobs? Cities in Georgia with the most Entry Level Provider Network Development job openings:
Director, Provider Data & Analytics

Director, Provider Data & Analytics

Centene Corporation

Atlanta, GA • On-site

$113.10K - $209.10K/yr

Full-time

Medical, Retirement, PTO

Posted 9 days ago


Centene rating

8.4

Company rating: 8.4 out of 10

Based on 382 frontline employees who took The Breakroom Quiz

31st of 864 rated healthcare providers


Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a hybrid position that requires at least 2 days per week in office.
Position Purpose: Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for directory submissions, maintenance of data among multiple systems for integrity, operational scorecards, and other reporting and data requirements as defined by the plan.
  • Oversee Provider Data Department including provider set up forms, maintenance of provider records and audit provider data records as well as management of all coordinator staff.
  • Direct oversight for Credentialing function (in partnership with QI) ensuring the process between credentialing and provider data integrity is seamless.
  • Create, validate and produce reports for state or other reporting needs.
  • Support and participate in production of GeoAccess reports and provider network reports required for submission to the state on an ongoing basis.
  • Coordinate with Provider Relations and Claims to address Network Data errors.
  • Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues.
  • Responsible for working with the QI department in the development of QI and credentialing reports.
  • Accountable for any ad hoc reporting needs as defined by the health plan.

Education/Experience: Bachelor's degree in a related area or equivalent experience. 7+ years of experience in a similar position in a health plan or network setting. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Pay Range: $113,100.00 - $209,100.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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