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Entry Level Provider Network Development Jobs in Michigan

Quantum Infotech

Network Engineer

Troy, MI · On-site

Started with the principle of providing outstanding service in identifying and delivering IT ... Standard best practices for network development and design. * Networking, Telephony and VoIP ...

IBG Partners

Entry Level Business Development

Houghton, MI · On-site

$75K - $100K/yr

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... We are seeking a motivated and ambitious Entry Level Business Development Representative to join ...

IBG Partners

Entry Level Business Development

Ann Arbor, MI · On-site

$60K - $90K/yr

Training is provided for entry-level candidates who are driven and teachable enough to learn our ... Comprehensive training and ongoing professional development. * Recognition & rewards : Company-paid ...

General Motors

Industrial Engineer

Detroit, MI · On-site

$69K - $93K/yr

Use critical path methodology and application in network development, analysis, and problem ... Provide technical support and assistant to manufacturing and maintenance team members, production ...

General Motors

Industrial Engineer

Detroit, MI · On-site

$69K - $93K/yr

Use critical path methodology and application in network development, analysis, and problem ... Provide technical support and assistant to manufacturing and maintenance team members, production ...

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Entry Level Provider Network Development information

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 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, 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 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 Michigan? The most popular types of Provider Network Development jobs in Michigan are:
What cities in Michigan are hiring for Entry Level Provider Network Development jobs? Cities in Michigan with the most Entry Level Provider Network Development job openings:
Entry Level Provider Network Development jobs near you
Supervisor Provider Network Operations

Supervisor Provider Network Operations

AmeriHealth Caritas

Southfield, MI • On-site

$78K - $104K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

110th of 281 rated insurance

Job description

Role Overview: The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements.
Work Arrangement:
  • Fully remote candidate must be located in Michigan (MI)
  • Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
  • Internet reimbursement may be available where required by law or contract

Responsibilities:
  • Supervise, coach, and monitor staff performance to ensure quality and timely completion of work
  • Support the Manager in implementing departmental initiatives and process improvements
  • Ensure operational processes align with internal policies, contractual obligations, and service level agreements (SLAs)
  • Oversee and support the resolution of provider inquiries and complaints, ensuring timely and effective outcomes
  • Monitor provider data maintenance and/or claims-related activities, providing feedback and recommendations for improvement
  • Research and resolve complex claims issues and operational discrepancies
  • Identify operational challenges and recommend solutions to improve performance and compliance
  • Participate in special projects and perform additional duties as assigned

Education & Experience:
  • Associate degree required or equivalent combination of education and relevant work experience
  • 1 to 3 years of supervisory or leadership experience preferred
  • Experience in managed care or a healthcare environment preferred
  • Knowledge of claims processing, coding, payment, and/or provider data operations strongly preferred
  • Familiarity with Medicaid reimbursement methodologies preferred

Skills & Abilities:
  • Strong leadership and team development capabilities
  • Knowledge of healthcare operations, particularly claims and provider data
  • Analytical and problem-solving skills with attention to detail
  • Ability to manage multiple priorities in a fast-paced environment
  • Strong communication and interpersonal skills
  • Ability to identify process improvement opportunities and drive change

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