Hybrid - The associate must be in the office at least three (3) days per week at our Manchester ... network operations required Skills & Abilities: * Ability to focus on technology and business ...
Hybrid - The associate must be in the office at least three (3) days per week at our Manchester ... network operations required Skills & Abilities: * Ability to focus on technology and business ...
Operations Associate
Franklin, TN · On-site
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
Operations Associate
Franklin, TN · On-site
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
Operations Associate
Franklin, TN · On-site
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
Operations Associate
Franklin, TN · On-site
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
... a Network Operations Center Engineer to join our team. The NOC Engineer is the primary interface ... Associate's degree in a related field, or equivalent work experience Minimum of 1-3 years of ...
... a Network Operations Center Engineer to join our team. The NOC Engineer is the primary interface ... Associate's degree in a related field, or equivalent work experience Minimum of 1-3 years of ...
Hybrid - The associate must be in the office at least three (3) days per week at our Manchester ... network operations required Skills & Abilities: * Ability to focus on technology and business ...
Hybrid - The associate must be in the office at least three (3) days per week at our Manchester ... network operations required Skills & Abilities: * Ability to focus on technology and business ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Quick apply
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Associate degree or equivalent experience in Information Technology, Networking, or a related field ... Operational Details * Job location is based at the Chicago Headquarters * Working hours consist of ...
Associate degree or equivalent experience in Information Technology, Networking, or a related field ... Operational Details * Job location is based at the Chicago Headquarters * Working hours consist of ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Clinic Network Operations Manager
Dallas, TX · On-site
$84.10K - $112.80K/yr
Urgent Surgery Associates (URSA) - a subsidiary of Integrative Emergency Services, LLC ("IES") - is seeking a Clinic Network Operations Manager who will be responsible for the day-to-day performance ...
Quick apply
Clinic Network Operations Manager
Dallas, TX · On-site
$84.10K - $112.80K/yr
Urgent Surgery Associates (URSA) - a subsidiary of Integrative Emergency Services, LLC ("IES") - is seeking a Clinic Network Operations Manager who will be responsible for the day-to-day performance ...
Network Operations Engineer, Top Secret Security Clearance Required, San Antonio, TX We are ... Cisco Certified Network Associate (CCNA), CompTIA Network+, or Cisco Certified Design Associate ...
Network Operations Engineer, Top Secret Security Clearance Required, San Antonio, TX We are ... Cisco Certified Network Associate (CCNA), CompTIA Network+, or Cisco Certified Design Associate ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
Clinic Network Operations Manager
Dallas, TX · On-site
$84.10K - $112.80K/yr
Urgent Surgery Associates (URSA) - a subsidiary of Integrative Emergency Services, LLC ("IES") - is seeking a Clinic Network Operations Manager who will be responsible for the day-to-day performance ...
Clinic Network Operations Manager
Dallas, TX · On-site
$84.10K - $112.80K/yr
Urgent Surgery Associates (URSA) - a subsidiary of Integrative Emergency Services, LLC ("IES") - is seeking a Clinic Network Operations Manager who will be responsible for the day-to-day performance ...
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
What You'll Do As an Operations Associate, you'll work across several key operational areas ... Review client contracts and partner network data * Identify trends and share findings with ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Quick apply
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
Lead breakfix operations across server, storage, and network hardware platforms, ensuring timely ... Associate degree or higher in a technical discipline or equivalent hands-on experience in data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
... Associate • Senior Network Operation Specialist needed to support the DoD. • Oversee the ... infrastructure and network operation by responding appropriately to alerts and events. • Oversee ...
... Associate • Senior Network Operation Specialist needed to support the DoD. • Oversee the ... infrastructure and network operation by responding appropriately to alerts and events. • Oversee ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The Mainframe Operations team monitors all Mainframe Operating systems, network connections, daily ... Associate's degree or equivalent work experience * At least 2 years of experience with a data ...
The successful candidate is expected to work independently with representatives from network operations, associate managers, consultants, design engineers and construction contractors for TDS Telecom ...
The successful candidate is expected to work independently with representatives from network operations, associate managers, consultants, design engineers and construction contractors for TDS Telecom ...
Network Operations Associate information
See salary details
$11.30 - $15.12
9% of jobs
$17.62 is the 25th percentile. Wages below this are outliers.
$15.12 - $18.95
24% of jobs
The median wage is $21.86 / hr.
$18.95 - $22.77
22% of jobs
$22.77 - $26.60
16% of jobs
$28.29 is the 75th percentile. Wages above this are outliers.
$26.60 - $30.42
9% of jobs
$30.42 - $34.24
7% of jobs
$34.24 - $38.07
4% of jobs
$38.07 - $41.89
4% of jobs
$41.89 - $45.72
3% of jobs
$45.72 - $49.54
1% of jobs
$49.54 - $53.37
0% of jobs
$11
$26
$53
How much do network operations associate jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Network Operations Associate, and why are they important?
What are the typical daily tasks and team interactions for a Network Operations Associate?
What does a Network Operations Associate do?
Full-time
Posted 23 days ago
AmeriHealth Caritas rating
8.5
Based on 69 frontline employees who took The Breakroom Quiz
86th of 259 rated insurance
Job description
Role Overview: The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim payment issues.
Work Arrangement:
- Hybrid - The associate must be in the office at least three (3) days per week at our Manchester, New Hampshire (NH) location.
Responsibilities:
- Review/approves and audits Payment Integrity (PI) vendor and internal prospective and retrospective edits/projects/recoveries
- User Acceptance Testing (UAT)/Client Review & audit (provider data, Appian Advanced Group ID (AGID) configuration, and set-up concentration) reviews requests prior to initial submission to Enterprise Operations (EO) and claims post-production
- Facets claims edit configuration concentration (Appian) - intake, review, impact assessment, and initial submission; UAT reviews requests prior to initial submission to EO and claims post-production
- Encounter error reconciliation representation, oversight and management - including identification and initiation of claim or provider changes necessary to mitigate/prevent future errors
- Management and resolution of state complaints
- State policy and contract amendment changes analysis and management
- Internal or vendor medical policy or Health Value Optimization (HVO) edit changes and initiatives
- Monitor and review state communications and changes, lead initial analysis/determination of action, provide direction on work request submissions to level I analysts, and test/audit subsequent changes
- Business Process Outsourcing (BPO) and/or other intake/workflow tool management
- Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM)
- Serves as the subject matter expert in State specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise Operations Configuration Department
- Maintain a current working knowledge of processing rules, contractual guidelines, state/Plan policy and operational procedures to effectively provide technical expertise and business rules
- Acts as the resource to other departments by developing and managing work plans which document the status of key relationship issues and action items for high profile providers
- Performs other related duties and projects as assigned
Education & Experience:
- Associate's degree preferred, or equivalent combination of education and experience in a healthcare field.
- American Academy of Professional Coders (AAPC) certification (CPC, COC, CIC, CRC) or NHA (CBCS) certification required.
- 3 to 5 years of claims analysis experience in healthcare, managed care, or Medicaid environment preferred.
- Strong working knowledge of Microsoft Excel, Access, Word, and other MS Office tools; ability to work with pivot charts, Access databases, and data analytics.
- Claims processing and provider data maintenance knowledge required
- Understanding of and experience related to healthcare claims payment configuration process/systems and its relevance/impact on network operations required
Skills & Abilities:
- Ability to focus on technology and business issues, as well as communicate appropriately with both technology and business experts
- Superior organizational skills required
- Critical thinking skills
- Strong customer service skills
- Data and reporting analysis
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983