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Provider Network Specialist Jobs (NOW HIRING)

RecruitTalent LLC.

Network Specialist

Santa Clara, CA · On-site

$50 - $60/hr

The Network Specialist will serve as the technical lead for Cisco and HP/Aruba network ... This individual will provide professional services for Cisco ASA firewalls, routers, switches ...

SNI Technology

Network Specialist

Middletown, CT · On-site

$90K/yr

Network Specialist Position Summary Location: On-site Middletown CT Compensation: $90,000 annually ... Responsibilities include analyzing network performance, providing technical support ...

University of Washington

Network Specialist

Seattle, WA · On-site +1

The salary information provided below is for a full-time position and will be prorated for this part-time, 100% FTE opportunity. Key Responsibilities The Network Specialist must have an excellent ...

Uw

Network Specialist

Seattle, WA · On-site

The salary information provided below is for a full-time position and will be prorated for this part-time, 100% FTE opportunity. Key Responsibilities The Network Specialist must have an excellent ...

Tyto Athene, LLC

Network Specialist

Albuquerque, NM · On-site

$75K - $85K/yr

The Network Specialist ensures that the Department of Defense (DoD) Defense Health Agency (DHA) LAN ... Provides daily operational support for the LAN core and edge switches across the medical network ...

Tyto Athene, LLC

Network Specialist

Albuquerque, NM · On-site

The Network Specialist ensures that the Department of Defense (DoD) Defense Health Agency (DHA) LAN ... Provides daily operational support for the LAN core and edge switches across the medical network ...

Lucas Systems

Network Specialist

Easley, SC · On-site

$52K/yr

We sought to accomplish that by providing our clients a reliable, quality product and service. We ... A Network Specialist will be responsible for designing, implementing, and maintaining the client ...

ManTech

Network Specialist

Eglin, FL · On-site

The Network Specialist's primary function is to support the United States Air Force's 53rd Wing ... Provide Tier 2 and 3 supports for network testing and operations. * Managing network local test ...

Tyto Athene, LLC

Network Specialist

Albuquerque, NM · Hybrid

The Network Specialist ensures that the Department of Defense (DoD) Defense Health Agency (DHA) LAN ... Provides daily operational support for the LAN core and edge switches across the medical network ...

ManTech

Network Specialist

Eglin, FL · On-site

The Network Specialist's primary function is to support the United States Air Force's 53rd Wing ... Provide Tier 2 and 3 supports for network testing and operations. * Managing network local test ...

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Showing results 21-40

All JobsProvider Network Specialist Jobs

Provider Network Specialist information

See salary details

$37.5K

$80.1K

$115.5K

How much do provider network specialist jobs pay per year?

As of Aug 7, 2026, the average yearly pay for provider network specialist in the United States is $80,093.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $94,000.00 per year, depending on experience, location, and employer.

What is the difference between Provider Network Specialist vs Claims Processor?

AspectProvider Network SpecialistClaims Processor
CredentialsHealthcare-related certifications, knowledge of insurance policiesBasic insurance or claims processing training
Work EnvironmentHealthcare organizations, insurance companiesInsurance companies, third-party administrators
Industry UsageHigh overlap in healthcare and insurance sectorsPrimarily insurance industry
Job FocusManaging provider networks, contracting, and relationsReviewing and processing insurance claims

The Provider Network Specialist focuses on managing healthcare provider networks, ensuring contracts and relations are maintained, while Claims Processors handle the review and processing of insurance claims. Both roles are essential in healthcare insurance but differ in daily responsibilities and focus areas.

What are the key skills and qualifications needed to thrive as a provider network specialist, and why are they important?

To thrive as a Provider Network Specialist, you need a solid understanding of healthcare networks, contract negotiation, and provider relations, often supported by a degree in healthcare administration or a related field. Familiarity with claims processing systems, provider databases, and relevant regulatory compliance tools like HIPAA is typically required. Strong communication, problem-solving, and relationship-building skills help you manage provider partnerships and resolve issues efficiently. These skills are crucial for ensuring a robust, compliant, and cost-effective provider network that meets organizational and patient needs.

What is a provider network specialist?

Provider Network Specialists are professionals who manage and maintain relationships between healthcare providers and health insurance companies. They are responsible for recruiting new providers, negotiating contracts, ensuring credentialing requirements are met, and resolving issues related to network participation. Their work helps ensure that patients have access to a broad and high-quality network of doctors, hospitals, and other healthcare professionals. Provider Network Specialists also monitor provider performance and help maintain compliance with regulations and organizational standards.

How does a provider network specialist typically collaborate with healthcare providers and insurance teams?

A Provider Network Specialist regularly communicates with healthcare providers to negotiate contracts, resolve credentialing issues, and ensure compliance with network standards. They also work closely with internal insurance teams, such as claims and customer service departments, to coordinate provider information and address any network gaps. This role often requires balancing provider needs with organizational goals, making strong relationship-building and problem-solving skills essential for success.
More about Provider Network Specialist jobs
What cities are hiring for Provider Network Specialist jobs? Cities with the most Provider Network Specialist job openings:
What states have the most Provider Network Specialist jobs? States with the most job openings for Provider Network Specialist jobs include:
What job categories do people searching Provider Network Specialist jobs look for? The top searched job categories for Provider Network Specialist jobs are:
Provider Network Specialist jobs near you
Infographic showing various Provider Network Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 12% Part Time, and 7% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $80,093 per year, or $38.5 per hour.

Dental Network Specialist

Medical Mutual of Ohio

Dayton, OH • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Medical Mutual of Ohio rating

8.6

Company rating: 8.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

88th of 303 rated insurance

Job description

**Medical Mutual employees must submit their applications through MySource.
**This is a hybrid-remote role based out of the Centerville, OH office, with employees expected to work onsite on designated in-office days each week.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Dental Network Specialist
Job Summary:
To support the development and enhancement of the company's dental network, this position handles provider applications, assists with the credentialing process, assists with recruitment campaigns, and manages ongoing relationships with both individual providers and Dental Service Organizations (DSOs) providers, guided by knowledge of corporate acceptance, participation, and professional review procedures.
Responsibilities:
  • Works with Senior Dental Network Specialist(s) to support credentialing and the ongoing relationship management of both individual and Dental Service Organizations (DSO) providers.
  • Utilizes various system platforms to maintain up-to-date provider and Dental Service Organization (DSO) records and financial information. Processes provider claim pends and manages internal and external provider inquiries and submissions (such as those related to recruiting campaigns, contracting, and fee schedules) in a timely manner through multiple communication channels.
  • Assists with technical support, provider registration, secure provider portal access and provider file monitoring.
  • In support of Medicare Advantage compliance, works with Senior Dental Network Specialist(s) to facilitate processing updates for excluded and precluded providers based on the Center for Medicare and Medicaid requirements.
  • Assists Senior Dental Network Specialist(s) to ensure seamless support and effective teamwork.
  • Performs other duties as assigned.

Qualifications:
Education and Experience:
  • Associate degree in business or healthcare administration, communications or related field.
  • Equivalent education and experience directly related to the role may substitute for a degree.
  • 2 years of experience associated with provider network credentialling or equivalent customer service experience, preferably in dental insurance, dental providers office, or the healthcare/health insurance industry.

Professional Certification(s):
  • NA

Technical Skills and Knowledge:
  • Intermediate MS Office skills.
  • Knowledge of provider contracts, network arrangements and fee schedule structures.
  • Knowledge of standard customer service best practices and principles.
  • Knowledge of Heath Insurance Portability and Accountability Act (HIPAA).

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
#LI-CS1 #LI-HYBRID
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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