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Entry Level Provider Network Development Jobs in Oregon

Curana Health, Inc.

We are reimagining what network development, network management, and provider data functions can look like when they are done with precision, care, and a genuine commitment to affordable, simple, and ...

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Ezee Fiber

Technician, Network Engineering

Salem, OR

$26.44/hr

This entry-level position is ideal for candidates looking to launch their careers in network engineering within a dynamic and fast-paced service provider environment. Under the guidance of senior ...

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

Provider Data Analyst

Curana Health, Inc.

Full-time

Posted 2 days ago

Curana Health rating

7.7

Company rating: 7.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

 

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

Summary

Our Provider Data team sits at the center of how we build and maintain market-leading integrated delivery systems alongside our Care Partners. We are reimagining what network development, network management, and provider data functions can look like when they are done with precision, care, and a genuine commitment to affordable, simple, and personal care for our members.

As a Provider Data Analyst, you will be a critical link between our Care Partners, participating providers, and the operational systems that depend on clean, complete provider data. Your work directly influences how members find and access care, and how our network partners experience doing business with us.

Essential Duties & Responsibilities

The responsibilities below represent the core focus of this role and are not exhaustive.

  • Manage the provider data ticketing queue, ensuring timely resolution of requests from contracted entities for new and updated provider information
  • Partner with team members to obtain required data elements, validate completeness, and drive continuous data quality improvement
  • Support coordination across contracting, fee schedule creation, and provider database management, including data loads
  • Contribute to the development and refinement of business rules, provider data extracts, and system-specific requirements
  • Assist with provider audits and regulatory filings throughout the year, including ad hoc data reporting and participation in stakeholder calls
  • Investigate and resolve provider data issues with confirmed root causes tied to data errors
  • Identify and implement opportunities to streamline provider data structure and workflows
Qualifications

WHAT YOU BRING

  • A collaborative, relationship-oriented approach to working across internal teams and external partners
  • Strong analytical and problem-solving skills, with the ability to work independently and adapt quickly in a fast-moving environment
  • Working knowledge of provider data and roster data elements
  • High proficiency in Microsoft Excel
  • Experience with provider data and/or claims systems including QNXT

EDUCATION AND EXPERIENCE

  • High school diploma or GED required
  • 2 or more years of experience in data analytics, provider or customer relations, data entry, and/or project management required
Employment Type: FULL_TIME

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