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 ...
Mason, OH · Hybrid
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
Mason, OH · Hybrid
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
Cincinnati, OH · On-site
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
Cincinnati, OH · On-site
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
Mason, OH · Hybrid
Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ...
Mason, OH · Hybrid
Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ...
Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ...
Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ...
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
Provider Network Mgmt Dir Provider Network Management Director Location : Cincinnati, OH & Mason, OH This role requires associates to be in-office 3 days per week, fostering collaboration and ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers ...
Rossford, OH · On-site
Develops the provider network and national network offerings through contracting activities, relationship development, and servicing. Communicates administrative and programmatic changes and ...
Rossford, OH · On-site
Develops the provider network and national network offerings through contracting activities, relationship development, and servicing. Communicates administrative and programmatic changes and ...
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
Quick apply
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
Quick apply
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
Quick apply
The role focusses on retaining and growing the network providers through building ongoing and trusted working relationships with providers and through delivering excellent provider service. The ...
Cleveland, OH · On-site
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
Cleveland, OH · On-site
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
Columbus, OH · On-site
$73K - $142K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
Columbus, OH · On-site
$73K - $142K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network ... Supports network strategy and development with respect to adequacy, financial performance and ...
Dayton, OH · On-site
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
Dayton, OH · On-site
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
Dayton, OH · On-site
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
Dayton, OH · On-site
$85K - $105K/yr
The program supports diverse needs providing employees many opportunities for career development, growth and advancement. To continue to excel this program, Intrepid is seeking a Sr. Network ...
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 ...
$8.57 - $13.40
6% of jobs
$17.19 is the 25th percentile. Wages below this are outliers.
$13.40 - $18.24
24% of jobs
$18.24 - $23.07
18% of jobs
The median wage is $23.68 / hr.
$23.07 - $27.91
13% of jobs
$27.91 - $32.74
12% of jobs
$33.95 is the 75th percentile. Wages above this are outliers.
$32.74 - $37.58
8% of jobs
$37.58 - $42.41
9% of jobs
$42.41 - $47.24
4% of jobs
$47.24 - $52.08
2% of jobs
$52.08 - $56.91
2% of jobs
$56.91 - $61.75
2% of jobs
$8
$29
$61
A Provider Network professional typically spends their days building and maintaining relationships with healthcare providers, negotiating and renewing contracts, ensuring network adequacy, and responding to provider inquiries or concerns. The role often involves analyzing data on network performance, collaborating with internal teams such as claims, compliance, and credentialing, and conducting outreach to recruit new providers or expand network coverage. You may also monitor regulatory changes and support provider onboarding efforts. This role requires frequent communication, both internally and externally, to ensure quality care delivery and a seamless provider experience.
To thrive as a Provider Network professional, you need a solid understanding of healthcare operations, provider credentialing, and contract negotiation, typically supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with provider databases, network management systems, and regulatory compliance platforms such as CAQH is often required. Strong relationship-building, problem-solving, and organizational skills set top candidates apart. These abilities are crucial for effectively developing, maintaining, and optimizing provider relationships within health plans or managed care organizations.
A Provider Network job involves managing relationships between healthcare providers and insurance companies or healthcare organizations. Responsibilities typically include contracting, credentialing, and ensuring network adequacy to meet patient needs. Professionals in this role negotiate provider agreements, analyze network performance, and ensure compliance with regulations. They play a key role in maintaining access to quality healthcare services for members.

Full-time
Medical, Retirement
Posted 9 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