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Provider Network Remote Jobs in North Carolina (NOW HIRING)

Amerihealth Caritas

Coord Provider Network

Raleigh, NC · On-site +1

As part of the NC Provider Network Management team, the Coordinator, Provider Network Management ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...

AmeriHealth Caritas

Coord Provider Network

Raleigh, NC · On-site +1

As part of the NC Provider Network Management team, the Coordinator, Provider Network Management ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...

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Provider Network Remote information

What is the difference between Provider Network Remote vs Provider Relations Specialist?

AspectProvider Network RemoteProvider Relations Specialist
CredentialsTypically requires healthcare or insurance certificationsSimilar certifications, often including healthcare administration
Work EnvironmentRemote, independent work with healthcare providersOffice or remote, focusing on communication with providers
Industry UsageUsed in health insurance and managed care organizationsCommon in insurance companies and healthcare networks
Search & Comparison IntentUnderstanding remote provider network rolesLearning about provider relations and communication roles

Provider Network Remote and Provider Relations Specialist roles share similar credentials and industry settings, but differ mainly in focus. Provider Network Remote emphasizes managing provider networks remotely, while Provider Relations Specialists focus on building relationships and communication with providers, often in an office setting.

What are the most commonly searched types of Provider Network jobs in North Carolina? The most popular types of Provider Network jobs in North Carolina are:
What are popular job titles related to Provider Network Remote jobs in North Carolina? For Provider Network Remote jobs in North Carolina, the most frequently searched job titles are:
What job categories do people searching Provider Network Remote jobs in North Carolina look for? The top searched job categories for Provider Network Remote jobs in North Carolina are:
What cities in North Carolina are hiring for Provider Network Remote jobs? Cities in North Carolina with the most Provider Network Remote job openings:
Provider Network Remote jobs near you
Coord Provider Network

Coord Provider Network

Amerihealth Caritas

Raleigh, NC • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 9 days ago

AmeriHealth Caritas rating

8.5

Company rating: 8.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

88th of 258 rated insurance

Job description

Responsibilities:

As part of the NC Provider Network Management team, the Coordinator, Provider Network Management builds and prepares the provider contract profiles in support of business activities and essentials for accuracy, maintenance and retrieval of provider data and contract requirements

Work Arrangement:

  • Must reside in North Carolina
  • Monday through Friday, 8:30 AM EST to 5:00 PM EST

Major Accountabilities:

  • Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information
  • Accurate entry and proper maintenance of provider data
  • Knowledge and application of market implementation data rules and processes
  • Meet the business project timelines and milestones
  • Work and maintain inventory in queue based on prioritization, aging and campaign
  • Contribute to the effective operations of the NC Provider Network Management

Education/ Experience:

  • High School Diploma or GED required
  • Associate's Degree or equivalent combination of education and work experience in a healthcare field preferred
  • Minimum of 1 year of experience in member, provider and/or finance operations in a healthcare or Managed Care Organization
  • Minimum of 1 year of experience in customer service
  • Minimun of 1 year of Medicaid experience preferred
  • Minimum of 1 year of experience in business operations preferred

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Employment Type: FULL_TIME

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