Zing Health aims to return the physician and the member to the center of the health care equation ... Collects credentialing and required documents for newly contracted providers * Conducts Provider ...
Zing Health aims to return the physician and the member to the center of the health care equation ... Collects credentialing and required documents for newly contracted providers * Conducts Provider ...
Description Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We're seeking a Provider Contracting Specialist to help expand and strengthen our ...
Description Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We're seeking a Provider Contracting Specialist to help expand and strengthen our ...
We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're ... Support market leaders with network tooling, adequacy standards, and contracting strategies. * Lead ...
We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're ... Support market leaders with network tooling, adequacy standards, and contracting strategies. * Lead ...
Required Qualifications At least 12 years experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs, and ...
Required Qualifications At least 12 years experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs, and ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We work with members throughout Wisconsin to find providers that fit each of their needs. Our goal ... If hired, Consumer Direct Care Network (CDCN) will not be your legal employer on record. If hired ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We work with members throughout Wisconsin to find providers that fit each of their needs. Our goal ... If hired, Consumer Direct Care Network (CDCN) will not be your legal employer on record. If hired ...
Required Qualifications • At least 12 years experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs ...
Required Qualifications • At least 12 years experience in health care to include experience in provider network management/contracting, health care operations, and/or government-sponsored programs ...
Provider Network Strategy Principal
Los Angeles, CA · On-site
$109K - $144K/yr
WelbeHealth is a value-based healthcare organization that's transforming the future of senior care ... The Provider Network Strategy Principal is a high impact role designed to provide strategic insight ...
Provider Network Strategy Principal
Los Angeles, CA · On-site
$109K - $144K/yr
WelbeHealth is a value-based healthcare organization that's transforming the future of senior care ... The Provider Network Strategy Principal is a high impact role designed to provide strategic insight ...
Provider Network Advocate - Ancillary Network
Pittsburgh, PA · Hybrid
$22.75 - $29.25/hr
The Provider Network Advocate (PNA) - Ancillary Network, will support the Provider Network Liaison ... Bachelor's Degree in Business, Health Care, Marketing or a related field is required or equivalent ...
Provider Network Advocate - Ancillary Network
Pittsburgh, PA · Hybrid
$22.75 - $29.25/hr
The Provider Network Advocate (PNA) - Ancillary Network, will support the Provider Network Liaison ... Bachelor's Degree in Business, Health Care, Marketing or a related field is required or equivalent ...
Provider Network Management Director-Colorado
Denver, CO · On-site
$113K - $170K/yr
Typically serves as lead contractor for large scale, multi-faceted negotiations. * Serves as ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...
Provider Network Management Director-Colorado
Denver, CO · On-site
$113K - $170K/yr
Typically serves as lead contractor for large scale, multi-faceted negotiations. * Serves as ... We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for ...
Provider Network Development Specialist - Remote
$70K - $80K/yr
Experience with credentialing, provider onboarding, or healthcare contracting Why Join The IMA Group? * Remote work environment with nationwide impact * Opportunity to directly influence network ...
Provider Network Development Specialist - Remote
$70K - $80K/yr
Experience with credentialing, provider onboarding, or healthcare contracting Why Join The IMA Group? * Remote work environment with nationwide impact * Opportunity to directly influence network ...
Network Ops Coordinator II
Mobile, AL · Hybrid
$47K - $86K/yr
Bachelor degree OR 4 years of experience in the Health Care industry * 2 years of experience with Provider Network contracting and credentialing systems * Written and verbal communication skills to ...
Network Ops Coordinator II
Mobile, AL · Hybrid
$47K - $86K/yr
Bachelor degree OR 4 years of experience in the Health Care industry * 2 years of experience with Provider Network contracting and credentialing systems * Written and verbal communication skills to ...
Network Contracting Acct Spec
Newark, NJ · On-site
... health care quality, affordability, and member experience. Our members are our neighbors, our ... Initiate and manage provider file maintenance requests, claims stops and new hospital ...
Network Contracting Acct Spec
Newark, NJ · On-site
... health care quality, affordability, and member experience. Our members are our neighbors, our ... Initiate and manage provider file maintenance requests, claims stops and new hospital ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We are seeking a caring in-home care provider to support 3 amazing children in their day-to-day lives. The ideal candidate will be confident, patient, and passionate about individuals with special ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We are seeking a caring in-home care provider to support 3 amazing children in their day-to-day lives. The ideal candidate will be confident, patient, and passionate about individuals with special ...
Care Provider
Eau Claire, WI · On-site
$14.13/hr
Care Provider (Part-Time) Location : Menomonie Compensation : $14.13/hr + $0.70/mile Hours : 16-18 per week Summary: Seeking a dependable and caring Respite Provider to transport and supervise a ...
Care Provider
Eau Claire, WI · On-site
$14.13/hr
Care Provider (Part-Time) Location : Menomonie Compensation : $14.13/hr + $0.70/mile Hours : 16-18 per week Summary: Seeking a dependable and caring Respite Provider to transport and supervise a ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We are seeking a caring in-home care provider to support 3 amazing children in their day-to-day lives. The ideal candidate will be confident, patient, and passionate about individuals with special ...
Care Provider
Eau Claire, WI · On-site
$17.66/hr
We are seeking a caring in-home care provider to support 3 amazing children in their day-to-day lives. The ideal candidate will be confident, patient, and passionate about individuals with special ...
Healthcare Provider Solutions Consultant
Virginia Beach, VA · On-site
$130K - $185K/yr
Requirements: The Healthcare Provider Solutions Consultant will play a significant role in the ... Existing network of relationships within hospital and health system HIM, coding, or revenue cycle ...
Quick apply
Healthcare Provider Solutions Consultant
Virginia Beach, VA · On-site
$130K - $185K/yr
Requirements: The Healthcare Provider Solutions Consultant will play a significant role in the ... Existing network of relationships within hospital and health system HIM, coding, or revenue cycle ...
... contracting and managing provider relationships in health care or insurance industry to include ... Knowledge of network development and provider/vendor network recruitment. * Knowledge of provider ...
... contracting and managing provider relationships in health care or insurance industry to include ... Knowledge of network development and provider/vendor network recruitment. * Knowledge of provider ...
Collaborate with healthcare professionals to provide well-rounded support for clients. * Stay ... Actively engage in team meetings, networking efforts, and community outreach to support the ...
Collaborate with healthcare professionals to provide well-rounded support for clients. * Stay ... Actively engage in team meetings, networking efforts, and community outreach to support the ...
Collaborate with healthcare professionals to provide well-rounded support for clients. * Stay ... Actively engage in team meetings, networking efforts, and community outreach to support the ...
Quick apply
Collaborate with healthcare professionals to provide well-rounded support for clients. * Stay ... Actively engage in team meetings, networking efforts, and community outreach to support the ...
Provider Network Development Specialist
Philadelphia, PA · On-site
$65K/yr
The Provider Network Development Specialist will assist in the necessary functions to ensure CBH ... Master's degree in Behavioral Health, Public Health, or MBA with a healthcare focus or equivalent ...
Quick apply
Provider Network Development Specialist
Philadelphia, PA · On-site
$65K/yr
The Provider Network Development Specialist will assist in the necessary functions to ensure CBH ... Master's degree in Behavioral Health, Public Health, or MBA with a healthcare focus or equivalent ...
Healthcare Provider Network Contractor information
See salary details
$13.69 is the 25th percentile. Wages below this are outliers.
$10.34 - $18.38
60% of jobs
$23.84 is the 75th percentile. Wages above this are outliers.
$18.38 - $26.42
22% of jobs
$26.42 - $34.46
1% of jobs
$34.46 - $42.50
0% of jobs
$42.50 - $50.55
1% of jobs
$50.55 - $58.59
1% of jobs
$58.59 - $66.63
1% of jobs
$66.63 - $74.67
6% of jobs
$74.67 - $82.71
1% of jobs
$82.71 - $90.76
0% of jobs
$90.76 - $98.80
6% of jobs
$10
$31
$98
How much do healthcare provider network contractor jobs pay per hour?
What is the difference between Healthcare Provider Network Contractor vs Healthcare Provider Relations Specialist?
| Aspect | Healthcare Provider Network Contractor | Healthcare Provider Relations Specialist |
|---|---|---|
| Credentials | Relevant certifications, such as CPC or CPC-H, often required | Similar certifications, with additional focus on communication skills |
| Work Environment | Contract-based, often remote or office settings, working with networks | Office or healthcare facility, engaging directly with providers and internal teams |
| Employer & Industry Usage | Insurance companies, healthcare networks, and third-party administrators | Hospitals, health plans, and healthcare organizations |
| Search & Comparison Intent | Understanding contractual roles in provider networks | Managing provider relationships and communication |
The Healthcare Provider Network Contractor primarily focuses on establishing and managing provider networks through contractual agreements, often working with insurance companies or networks. In contrast, the Healthcare Provider Relations Specialist emphasizes building and maintaining relationships with healthcare providers, ensuring effective communication and collaboration within healthcare organizations.
What is a network contractor?
What is the highest paying job in the healthcare industry?
What are the key skills and qualifications needed to thrive as a Healthcare Provider Network Contractor, and why are they important?
What is provider contracting in health care?
What is a Healthcare Provider Network Contractor?
What are some common challenges faced by Healthcare Provider Network Contractors when negotiating contracts with providers?
What is the most chill healthcare job?
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Provider Network Relations Consultant - IL, IN & MI
Chicago, IL • On-site
Full-time
Posted 7 days ago
Job description
COMPANY OVERVIEW
Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.
POSITION OVERVIEW
The Provider Network Relations Consultant is responsible for negotiating contracts, developing, and maintaining a cooperative relationship and an excellent rapport with all network providers (including Medical Groups/IPAs, Primary Care, Specialist, Hospitals and Ancillary Providers) for an assigned region. The Provider Network Relations Consultant acts as a liaison between the network providers and Zing Health, monitoring providers to ensure access standards are met, promoting strategic initiatives and providing training for all lines of business to ensure that network providers have updated policy and procedure information.
ESSENTIAL POSITION RESPONSIBILITES
- Provides service and education to Network Providers
- Contracts and renegotiates Primary Care, Specialty Physicians and Ancillary Providers for all product lines
- Collects credentialing and required documents for newly contracted providers
- Conducts Provider Orientations and ongoing education to Network Providers
- Understands and explains fee-for-service and risk contracts and provides reporting on Provider and/or Service Fund performance.
- Manages Provider Network by developing and maintaining relationships to drive business results within a specific geographic area
- Daily interface with providers and internal constituents to effectively resolve service issues (contract inquires, claim issues, authorization request, eligibility verification) in a timely manner
- Performs special projects as assigned
POSITION QUALIFICATIONS
Required Qualifications
Education/Experience:Â
- Required 3 - 5 years of experience in Provider Relations, Network Development, Network Management, Contracting or related Provider Services position with demonstrated ability to perform the level of duties of the position
- Required Managed Care experience
- Medicare experience preferred
- Other previous contracting experience preferred
- Microsoft Office Suite experience - Word, Excel, and Outlook
- Excellent written and interpersonal verbal communication skills
- Demonstrated negotiation, analytic and organizational skills
- Knowledge of healthcare delivery a plus
- Ability to present in group settings, multi-task, work independently, and work within tight timeframes and meet strict deadlines