Provider Network Rep
Cincinnati, OH · On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH · On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
Cincinnati, OH · On-site
Everything in bold was added by the hiring manager** Position Purpose: Perform duties to act as a ... network and assist with claim resolution. Serve as primary contact for providers and act as a ...
$67K - $129K/yr
Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...
$67K - $129K/yr
Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...
$67K - $129K/yr
Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...
$67K - $129K/yr
Engaging Network Partners in reoccurring stewardship meetings and in person visits to review and ... Provide support for Global Online mailbox management and Multinational billing (premium ...
Columbus, OH · Hybrid
$91K - $107K/yr
COTA's Manager, Facility & Cloud Network is responsible for the design, operation, security, and ... Serve as a technical escalation point, providing guidance and support to staff, administrators ...
Columbus, OH · Hybrid
$91K - $107K/yr
COTA's Manager, Facility & Cloud Network is responsible for the design, operation, security, and ... Serve as a technical escalation point, providing guidance and support to staff, administrators ...
The Network and Infrastructure Manager will oversee the maintenance of a secure and high-performance network infrastructure while providing leadership to the networking team and ensuring compliance ...
The Network and Infrastructure Manager will oversee the maintenance of a secure and high-performance network infrastructure while providing leadership to the networking team and ensuring compliance ...
Provide leadership and team management to guide and the Infrastructure / Networking team. Including mentoring, performance management, and fostering a collaborative work environment. * Collaborate ...
Provide leadership and team management to guide and the Infrastructure / Networking team. Including mentoring, performance management, and fostering a collaborative work environment. * Collaborate ...
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Quick apply
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Maintains an accurate and up-to-date provider database for use in network management, claims repricing and the provider directory. This includes weekly and monthly reporting of provider files to TPAs ...
Quick apply
Maintains an accurate and up-to-date provider database for use in network management, claims repricing and the provider directory. This includes weekly and monthly reporting of provider files to TPAs ...
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Quick apply
Ongoing monthly review of CAQH Summary reports to identify any listings related to FrontPath providers. · Maintains an accurate and up-to-date provider database for use in network management, claims ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. * Oversight of Provider ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. * Oversight of Provider ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. Oversight of Provider ...
Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education. Oversight of Provider ...
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activitiesin accordance withgovernment policies and standards. * Analyze network performance data and provide ...
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activitiesin accordance withgovernment policies and standards. * Analyze network performance data and provide ...
Manages the relationship and performance of the service provider network through direct interaction with the service providers and B2B meetings leveraging insights/takeaways from Centralized Business ...
Manages the relationship and performance of the service provider network through direct interaction with the service providers and B2B meetings leveraging insights/takeaways from Centralized Business ...
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activities in accordance with government policies and standards. * Analyze network performance data and provide ...
Beavercreek, OH · On-site
$92K - $166K/yr
Perform vulnerability remediation, patch management support, and security compliance activities in accordance with government policies and standards. * Analyze network performance data and provide ...
Columbus, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Columbus, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
$90K - $110K/yr
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
Quick apply
$90K - $110K/yr
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
New Albany, OH · On-site
Provide after-hours support for all network infrastructure hardware and systems * Participate in managing all network security solutions * Perform network and security audits of all company systems
$60K - $132K/yr
Supports larger provider partners in accordance with company standards to maintain and enhance ... Manages contract performance in support of network quality, availability, and financial goals and ...
$60K - $132K/yr
Supports larger provider partners in accordance with company standards to maintain and enhance ... Manages contract performance in support of network quality, availability, and financial goals and ...
$20.9K - $33.1K
0% of jobs
$33.1K - $45.2K
0% of jobs
$45.2K - $57.3K
5% of jobs
$57.3K - $69.5K
11% of jobs
$79.1K is the 25th percentile. Wages below this are outliers.
$69.5K - $81.6K
12% of jobs
$81.6K - $93.8K
15% of jobs
The median wage is $100.8K / yr.
$93.8K - $105.9K
14% of jobs
$105.9K - $118.1K
17% of jobs
$120.2K is the 75th percentile. Wages above this are outliers.
$118.1K - $130.2K
14% of jobs
$130.2K - $142.3K
6% of jobs
$142.3K - $154.5K
7% of jobs
$20.9K
$101.3K
$154.5K
| Aspect | Provider Network Manager | Provider Relations Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are common | Often requires similar credentials, with a focus on communication or healthcare certifications |
| Work Environment | Works in healthcare organizations, insurance companies, or managed care settings, managing networks and contracts | Works in provider offices or insurance companies, focusing on building and maintaining provider relationships |
| Employer & Industry Usage | Commonly employed by health plans, insurance companies, and healthcare networks | Employed by insurance companies, healthcare providers, and managed care organizations |
The Provider Network Manager and Provider Relations Specialist roles share overlapping credentials and work environments within healthcare and insurance industries. While the Provider Network Manager focuses on managing provider networks and contracts, the Provider Relations Specialist emphasizes building provider relationships and communication. Both roles are essential for effective healthcare delivery and insurance operations, often working closely together to ensure provider satisfaction and network efficiency.
Full-time
Medical, Retirement
Re-posted 8 days ago
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