Provider Services Representative
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Quick apply
Provider Services Representative
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Provider Services Representative
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Provider Services Representative
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Provider Services Representative
Birmingham, AL · On-site
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Provider Services Representative
Birmingham, AL · On-site
$16 - $19/hr
Work with Network Development and Marketing and Sales to ensure network adequacy. * Assist in updating provider-related materials. * Educate providers and staff on changes to the Health Plan.
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Quick apply
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
Network Administrator
Huntsville, AL · On-site
The ARC is a Research, Development, Test, and Evaluation (RDT&E) facility designed and operated to ... Ability to adapt to change and provide courses of action for problem solving * Ability to approach ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Quick apply
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Quick apply
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Key Responsibilities * Receive, interpret and incorporate Council for Affordable ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
Credentialing Coordinator
Birmingham, AL · On-site
This position will act as a resource for provider data integrity, provider file management and network development. Why VIVA HEALTH? VIVA HEALTH, part of the renowned University of Alabama at ...
... Provide network administration and engineering solutions on all Service Delivery Point (SDP ... • Support the development, testing, and implementation of solutions and best practice ...
... Provide network administration and engineering solutions on all Service Delivery Point (SDP ... • Support the development, testing, and implementation of solutions and best practice ...
Network Administrator
Montgomery, AL · On-site
$85K - $90K/yr
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
Quick apply
Network Administrator
Montgomery, AL · On-site
$85K - $90K/yr
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
Network Administrator
Huntsville, AL · On-site
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
Network Administrator
Huntsville, AL · On-site
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
Network Administrator
Huntsville, AL · On-site
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
Network Administrator
Huntsville, AL · On-site
Provides network performance statistics, reports and recommendations for network enhancements ... game development and implementation. We have established a broad offering of products and ...
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
Provider Network Development information
What is a Provider Network Development job?
A Provider Network Development job involves building and maintaining relationships with healthcare providers to ensure a strong, cost-effective network for health plans or organizations. Responsibilities typically include negotiating contracts, analyzing network performance, and ensuring compliance with industry standards. The goal is to enhance access to quality care for members while managing costs effectively. This role requires strong relationship management, analytical skills, and knowledge of healthcare regulations and reimbursement structures.
What are some common challenges faced in Provider Network Development roles?
A key challenge in Provider Network Development is balancing the need for a broad, high-quality provider network with the organization's cost and access objectives. Professionals in this role often navigate complex negotiations, changing regulatory environments, and evolving healthcare market dynamics. Additionally, ensuring provider satisfaction while meeting internal performance metrics requires strong relationship management and problem-solving abilities. Overcoming these challenges helps organizations remain competitive while delivering comprehensive care options to members.
What are the key skills and qualifications needed to thrive in the Provider Network Development position, and why are they important?
To thrive in Provider Network Development, you need expertise in healthcare contracting, network management, and provider relations, often supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is highly valuable. Superior negotiation, relationship-building, and analytical skills are crucial soft skills for this role. These competencies enable the effective expansion and maintenance of robust provider networks, ensuring quality, cost-effective care for members.
What are the most commonly searched types of Provider Network Development jobs in Alabama? The most popular types of Provider Network Development jobs in Alabama are:
What are popular job titles related to Provider Network Development jobs in Alabama? For Provider Network Development jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Provider Network Development jobs in Alabama look for? The top searched job categories for Provider Network Development jobs in Alabama are:
$16 - $19/hr
Full-time
Posted 3 days ago
Job description
Provider Services Representative
Location: Birmingham, Alabama
Job Summary
The Provider Services Representative serves as the primary contact for the participating provider network in building and maintaining relationships and acts as an advocate for the Health Plan. This position will travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured in accordance with Company policy.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
- Comprehensive Health, Vision, and Dental Coverage
- 401(k) Savings Plan with company match and immediate vesting
- Paid Time Off (PTO)
- 9 Paid Holidays annually plus a Floating Holiday to use as you choose
- Tuition Assistance
- Flexible Spending Accounts
- Healthcare Reimbursement Account
- Paid Parental Leave
- Community Service Time Off
- Life Insurance and Disability Coverage
- Employee Wellness Program
- Training and Development Programs to develop new skills and reach career goals
- Employee Assistance Program
See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
Key Responsibilities
- Serve as primary contact for issues between providers and Health Plan developing rapport with established and prospective providers to build business relationships.
- Maintain documentation of provider visits and interactions in database.
- Develop and conduct programs to ensure providers know and understand health plan business policies and practices as described in Policies and Practices.
- Coordinate with other departments to ensure effective communication and/or coordination of efforts concerning provider issues and projects. Complete Provider File Maintenance (PFM) forms to update provider information in computer systems.
- Assist with provider credentialing and re-credentialing efforts.
- Work with Network Development and Marketing and Sales to ensure network adequacy.
- Assist in updating provider-related materials.
- Educate providers and staff on changes to the Health Plan.
REQUIRED QUALIFICATIONS:
- Bachelor’s Degree or equivalent experience in provider relations or similar field
- 2 years’ experience in customer service, marketing, or working with/in a physician’s office
- Proficient in standard Microsoft Office software
- Ability to organize ideas and communicate messages through various mediums including group presentations appropriate to listeners and situations
- Valid driver's license in good standing
- May require significant face-to-face member contact with duties regularly
performed away from the principal place of business - Willing to submit to vaccine testing and screening
PREFERRED QUALIFICATIONS:
- Bachelor’s Degree in a health-related field
- 3 years’ experience in insurance claims, physician’s office, customer service, or marketing