Provider Network Rep
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH ยท On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Pittsburgh, PA ยท Hybrid
Manage relationships with key providers within the Health Plan provider network as directed. * Effectively manage special projects as assigned to complete in a timely manner, occasionally, the ...
Pittsburgh, PA ยท Hybrid
Manage relationships with key providers within the Health Plan provider network as directed. * Effectively manage special projects as assigned to complete in a timely manner, occasionally, the ...
$87K - $116K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
$87K - $116K/yr
The Provider Network Operations Supervisor supports the daily operations of the Provider Network ... Support the Manager in implementing departmental initiatives and process improvements * Ensure ...
Albuquerque, NM ยท On-site
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Albuquerque, NM ยท On-site
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Burlingame, CA ยท On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
Burlingame, CA ยท On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
Albuquerque, NM ยท On-site +1
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Albuquerque, NM ยท On-site +1
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Charleston, WV ยท On-site
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Charleston, WV ยท On-site
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Pittsburgh, PA ยท On-site
$27.89 - $48.21/hr
Manage relationships with key providers within the Health Plan provider network as directed. * Effectively manage special projects as assigned to complete in a timely manner, occasionally, the ...
Pittsburgh, PA ยท On-site
$27.89 - $48.21/hr
Manage relationships with key providers within the Health Plan provider network as directed. * Effectively manage special projects as assigned to complete in a timely manner, occasionally, the ...
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
$45K - $68K/yr
Provides issue resolution and complex trouble shooting for providers. * Conducts provider education ... Works with management to draft, clarify and recommend changes to policies which impact network ...
Burlingame, CA ยท On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
Burlingame, CA ยท On-site
$39.69 - $45.10/hr
The PNC is responsible managing and maintaining accurate data related to the provider and groups within the MSO provider network. This includes being the main point of contact for all provider ...
Duluth, MN ยท On-site
$50.02 - $75.03/hr
Providing guidance and governance on reimbursement strategies and working collaboratively to ... Business Management. * Previous network development and provider contracting experience.
Duluth, MN ยท On-site
$50.02 - $75.03/hr
Providing guidance and governance on reimbursement strategies and working collaboratively to ... Business Management. * Previous network development and provider contracting experience.
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Southfield, MI ยท On-site +1
The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and ...
Corvallis, OR ยท On-site +1
Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns. DEPARTMENT ...
Corvallis, OR ยท On-site +1
Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns. DEPARTMENT ...
Fort Lauderdale, FL ยท On-site
$14.25 - $18.75/hr
This internship provides an opportunity to gain hands-on experience in provider network management, healthcare operations, and compliance. The intern will work up to 29 hours per week and assist with ...
Quick apply
Fort Lauderdale, FL ยท On-site
$14.25 - $18.75/hr
This internship provides an opportunity to gain hands-on experience in provider network management, healthcare operations, and compliance. The intern will work up to 29 hours per week and assist with ...
Orange, CA ยท On-site
$23 - $25/hr
Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers. * Maintaining and updating the ...
Orange, CA ยท On-site
$23 - $25/hr
Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers. * Maintaining and updating the ...
El Monte, CA ยท Hybrid
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
El Monte, CA ยท Hybrid
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Orange, CA ยท On-site
$23 - $25/hr
Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers. * Maintaining and updating the ...
Orange, CA ยท On-site
$23 - $25/hr
Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers. * Maintaining and updating the ...
Philadelphia, PA ยท On-site
$65K/yr
The Provider Network Development Specialist will assist in the necessary functions to ensure CBH ... Promote and manage diversity and acceptance within CBH and with all stakeholders by honoring and ...
Quick apply
Philadelphia, PA ยท On-site
$65K/yr
The Provider Network Development Specialist will assist in the necessary functions to ensure CBH ... Promote and manage diversity and acceptance within CBH and with all stakeholders by honoring and ...
El Monte, CA ยท On-site
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
El Monte, CA ยท On-site
$70K - $80K/yr
The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider ...
Las Vegas, NV ยท On-site
$66K - $103K/yr
Provider Network Manager Primary Location: 9133 W. Russell Rd, Las Vegas, NV Schedule: Candidates in alternate locations that can work hours aligned to 8 AM - 5 PM PST will be considered. Hybrid
Las Vegas, NV ยท On-site
$66K - $103K/yr
Provider Network Manager Primary Location: 9133 W. Russell Rd, Las Vegas, NV Schedule: Candidates in alternate locations that can work hours aligned to 8 AM - 5 PM PST will be considered. Hybrid
$56.5K - $62.4K
19% of jobs
$65.7K is the 25th percentile. Wages below this are outliers.
$62.4K - $68.2K
11% of jobs
$68.2K - $74.1K
4% of jobs
$74.1K - $80K
4% of jobs
$80K - $85.8K
4% of jobs
$85.8K - $91.7K
4% of jobs
$91.7K - $97.5K
2% of jobs
The median wage is $97.8K / yr.
$97.5K - $103.4K
42% of jobs
$103.4K - $109.3K
0% of jobs
$109.3K - $115.1K
0% of jobs
$115.1K - $121K
9% of jobs
$56.5K
$89.9K
$121K
| Aspect | Entry Level Provider Network Management | Entry Level Provider Relations Coordinator |
|---|---|---|
| Certifications | Relevant healthcare or insurance certifications often preferred | Similar certifications, often in healthcare administration or customer service |
| Work Environment | Healthcare insurance companies, managed care organizations | Healthcare provider offices, insurance companies, healthcare networks |
| Job Focus | Managing provider networks, credentialing, contracting | Building provider relationships, communication, resolving provider issues |
| Common Search Intent | Understanding provider network roles, entry-level healthcare jobs | Provider relations, healthcare customer service roles |
While both roles involve healthcare provider interactions, Entry Level Provider Network Management focuses on managing provider networks, credentialing, and contracts. In contrast, Entry Level Provider Relations Coordinator emphasizes building and maintaining provider relationships and communication. Both roles are essential in healthcare organizations but differ in their primary responsibilities and focus areas.

Full-time
Medical, Retirement
Posted 25 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
This person will be a primary contact for providers. They will schedule, organize and facilitate collaborative JOC meetings as needed. They will perform provider orientations for individual providers and large provider groups. They will also provide ongoing education for these providers. They will travel to provider's offices, so they must have a driver's license.
**Everything in bold was added by the hiring manager**ย
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution.
ย Serve as primary contact for providers and act as a liaison between theย home and community based servicesย providers and the health plan
ย Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, andย research claims issues on-site, where possible, and route to the appropriate party for resolute
ย Schedule, organize and facilitate collaborative JOC meetings as needed.
ย Receive and effectively respond to external provider related issues
ย Provide education on health plan's innovative contracting strategies
ย Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network
ย Investigate, resolve and communicate provider claim issues and changes
ย Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation,ย MMP updatesย and related topics
ย Perform provider orientationsย for individuals, large diverse provider groupsย and ongoing provider education for same, including writing and updating orientation materialsย which you will present.
ย Ability to travel
Requirements:
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
Interested in being considered?
If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003