Provider Network Rep
Cincinnati, OH · On-site
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 ...
Cincinnati, OH · On-site
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 ...
Cincinnati, OH · On-site
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 ...
Houston, TX · On-site
$40K - $65K/yr
We are looking for a Provider Network Manager to join our growing company with many internal ... Responsible for provider relations and provider liaison functions * Conduct initial outreach and ...
Quick apply
Houston, TX · On-site
$40K - $65K/yr
We are looking for a Provider Network Manager to join our growing company with many internal ... Responsible for provider relations and provider liaison functions * Conduct initial outreach and ...
Carrollton, TX · On-site
$55K - $75K/yr
We are looking for a Provider Network Manager to join our growing company with many internal ... Responsible for provider relations and provider liaison functions * Conduct initial outreach and ...
Quick apply
Carrollton, TX · On-site
$55K - $75K/yr
We are looking for a Provider Network Manager to join our growing company with many internal ... Responsible for provider relations and provider liaison functions * Conduct initial outreach and ...
Richmond, CA · On-site
$20.25 - $25.75/hr
The person is also the main market Network liaison for operations, clinical, Referrals, Hospital ... Preferred provider network knowledge and insights will be used to educate clinical, Referrals, and ...
Richmond, CA · On-site
$20.25 - $25.75/hr
The person is also the main market Network liaison for operations, clinical, Referrals, Hospital ... Preferred provider network knowledge and insights will be used to educate clinical, Referrals, and ...
Richmond, VA · On-site
$16.25 - $20.50/hr
The person is also the main market Network liaison for operations, clinical, Referrals, Hospital ... Preferred provider network knowledge and insights will be used to educate clinical, Referrals, and ...
Richmond, VA · On-site
$16.25 - $20.50/hr
The person is also the main market Network liaison for operations, clinical, Referrals, Hospital ... Preferred provider network knowledge and insights will be used to educate clinical, Referrals, and ...
Detroit, MI · On-site
Serve as the dedicated liaison for the SUD provider network for purchase order issuance and invoice processing needs * Collect and analyze data for mandatory state and federal reports * Monitor and ...
Detroit, MI · On-site
Serve as the dedicated liaison for the SUD provider network for purchase order issuance and invoice processing needs * Collect and analyze data for mandatory state and federal reports * Monitor and ...
... Liaison to CMH Provider Network Coordination and oversight of CMH Provider Special Program Certification Process Report development and submission to MDHHS Assist with support of State Site Reviews ...
... Liaison to CMH Provider Network Coordination and oversight of CMH Provider Special Program Certification Process Report development and submission to MDHHS Assist with support of State Site Reviews ...
Greensboro, NC · On-site
Clinically Integrated Network Liaison The Clinically Integrated Network (CIN) Liaison serves as a ... provider experience, and enhancing overall network performance. Through relationship-building ...
Greensboro, NC · On-site
Clinically Integrated Network Liaison The Clinically Integrated Network (CIN) Liaison serves as a ... provider experience, and enhancing overall network performance. Through relationship-building ...
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
Quick apply
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
The Provider Network Specialist provides support to complete activities associated with ... Act as liaison between DCF and service vendors for issues related to fiduciary services requests;
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
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 ...
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 ...
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
Quick apply
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
Washington, DC · On-site
$71K - $97K/yr
This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs, including primary care physicians (PCPs ...
Washington, DC · On-site
$71K - $97K/yr
This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs, including primary care physicians (PCPs ...
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
Washington, DC · On-site
$75K - $95K/yr
... provider network ... This position serves as the primary liaison between the health plan and its contracted dental ...
Orlando, FL · On-site
$24.04/hr
Summary The Provider Liaison is responsible for developing and maintaining strong relationships with network examiners and internal business partners leading to the achievement of examiner ...
Orlando, FL · On-site
$24.04/hr
Summary The Provider Liaison is responsible for developing and maintaining strong relationships with network examiners and internal business partners leading to the achievement of examiner ...
Washington, DC · On-site
$71K - $97K/yr
This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs, including primary care physicians (PCPs ...
Washington, DC · On-site
$71K - $97K/yr
This role serves as a key liaison between the health plan and its contracted provider network, supporting providers participating in fee-for-service programs, including primary care physicians (PCPs ...
Serves as the primary liaison between membership and the credentialing department, acts as an ... Ensures network service programs and vendor relationships are designed and managed in accordance ...
Serves as the primary liaison between membership and the credentialing department, acts as an ... Ensures network service programs and vendor relationships are designed and managed in accordance ...
Serves as the primary liaison between membership and the credentialing department, acts as an ... Ensures network service programs and vendor relationships are designed and managed in accordance ...
Serves as the primary liaison between membership and the credentialing department, acts as an ... Ensures network service programs and vendor relationships are designed and managed in accordance ...
$10.82 - $13.81
1% of jobs
$13.81 - $16.81
11% of jobs
$18.71 is the 25th percentile. Wages below this are outliers.
$16.81 - $19.80
21% of jobs
$19.80 - $22.79
17% of jobs
The median wage is $22.89 / hr.
$22.79 - $25.79
17% of jobs
$28.53 is the 75th percentile. Wages above this are outliers.
$25.79 - $28.78
9% of jobs
$28.78 - $31.77
7% of jobs
$31.77 - $34.77
5% of jobs
$34.77 - $37.76
5% of jobs
$37.76 - $40.76
4% of jobs
$40.76 - $43.75
2% of jobs
$10
$25
$43
Cities with the most Provider Network Liaison job openings:
States with the most job openings for Provider Network Liaison jobs include:
For Provider Network Liaison jobs, the most frequently searched job titles are:

Cincinnati, OH • On-site
Full-time
Medical, Retirement
Re-posted 6 days ago
Schedule, organize, and facilitate collaborative JOC meetings with providers and the health plan.
Perform provider orientations and ongoing education for individual providers and large provider groups.
Investigate, resolve, and communicate provider claim issues and changes.
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**
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.
Serve as primary contact for providers and act as a liaison between the home and community based services providers and the health plan
Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, and research claims issues on-site, where possible, and route to the appropriate party for resolute
Schedule, organize and facilitate collaborative JOC meetings as needed.
Receive and effectively respond to external provider related issues
Provide education on health plan's innovative contracting strategies
Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network
Investigate, resolve and communicate provider claim issues and changes
Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation, MMP updates and related topics
Perform provider orientations for individuals, large diverse provider groups and ongoing provider education for same, including writing and updating orientation materials which you will present.
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