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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Birmingham, AL · On-site
$120 - $190/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Birmingham, AL · On-site
$120 - $190/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Quick apply
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Birmingham, AL · On-site
$130 - $210/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Birmingham, AL · On-site
$130 - $210/hr
Lead the development of provider performance methodologies, scorecards, dashboards, and executive reporting in collaboration with the Network Operations & Analytics team by defining business ...
Huntsville, AL · On-site
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
Huntsville, AL · On-site
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
Huntsville, AL · On-site
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
Huntsville, AL · On-site
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
The candidate will provide network engineering expertise across the life cycle of tactical network capabilities integrated into Army Fires' air defense weapon systems, spanning design, development ...
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
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 ...
Montgomery, AL · On-site
$85 - $90/hr
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
Montgomery, AL · On-site
$85 - $90/hr
This includes providing for graceful degradation, self-healing, fail-over, diversity and ... Support the development, testing, and implementation of solutions and best practice methodologies ...
Huntsville, AL · On-site
$93 - $129/hr
Position Description PingWind is seeking a Network Lead to provide technical leadership for PAE ... Support network planning and policy development; evaluate, recommend, and implement hardware ...
Huntsville, AL · On-site
$93 - $129/hr
Position Description PingWind is seeking a Network Lead to provide technical leadership for PAE ... Support network planning and policy development; evaluate, recommend, and implement hardware ...
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 ...
Huntsville, AL · On-site
$120 - $150/hr
Role Description The ideal candidate will provide technical engineering support for our large ... Another way we invest in our people is by offering a robust professional development and education ...
New
Huntsville, AL · On-site
$120 - $150/hr
Role Description The ideal candidate will provide technical engineering support for our large ... Another way we invest in our people is by offering a robust professional development and education ...
New
Huntsville, AL · On-site
$102K - $140K/yr
Provide network support on an as-needed basis to resolve networking issues that have not been ... From on-the-job learning experiences to formal development programs, our professionals have a ...
Huntsville, AL · On-site
$102K - $140K/yr
Provide network support on an as-needed basis to resolve networking issues that have not been ... From on-the-job learning experiences to formal development programs, our professionals have a ...
Huntsville, AL · On-site
$102K - $140K/yr
We provide high quality resources for a wide range of IT and security solutions at best-value ... development and growth for a long-lasting and happy career. We offer a benefits package that is ...
Huntsville, AL · On-site
$102K - $140K/yr
We provide high quality resources for a wide range of IT and security solutions at best-value ... development and growth for a long-lasting and happy career. We offer a benefits package that is ...
Huntsville, AL · On-site
$99K - $135K/yr
Provide network support on an as-needed basis to resolve networking issues that have not been ... From on-the-job learning experiences to formal development programs, our professionals have a ...
Huntsville, AL · On-site
$99K - $135K/yr
Provide network support on an as-needed basis to resolve networking issues that have not been ... From on-the-job learning experiences to formal development programs, our professionals have a ...
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.
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.
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.
The most popular types of Provider Network Development jobs in Alabama are:
For Provider Network Development jobs in Alabama, the most frequently searched job titles are:
The top searched job categories for Provider Network Development jobs in Alabama are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 days ago
8.1
Based on 5 frontline employees who took The Breakroom Quiz
159th of 315 rated insurance
Credentialing Coordinator
Location: Birmingham, AL
Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can transition to a hybrid work schedule with a mix of in-office and remote work. The successful candidate must reside within a reasonable travel distance of Birmingham.
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
See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
Job Description
The Credentialing Coordinator is responsible for credentialing and re-credentialing practitioners, ancillary service providers and allied health professionals to ensure their qualification to participate in VIVA HEALTH’S provider network. The Credentialing Coordinator will serve a primary role in receiving and incorporating provider data appropriately into the provider set-up workflow process. This position will act as a resource for provider data integrity, provider file management and network development.
Key Responsibilities
REQUIRED QUALIFICATIONS:
Sourced by ZipRecruiter
Insurance services
201 - 500 Employees
Birmingham, AL, US
1995
