Provider Network Specialist jobs in New Hampshire
Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Network Specialist jobs
Provider Network Coordinator
- Healthcare Support Staffing, Inc
-
Hampshire, NH
OTHER
-
We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization.
Take advantage of flexible hours, and a competitive salary, and be Provider Network Coordinator with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Provider Network Coordinator can provide a high level of service and attention to their patients.
If you are a Provider Network Coordinator and you meet the qualifications listed below, please click apply below for consideration
Daily Responsibilities of a Provider Network Coordinator- The provider engagement administrators will work with provider offices to manage performance and drive performance improvement.
- Serve as primary contact for providers and act as a liaison between the providers and the health plan
- Triages provider issues as needed for resolution to internal partners
- 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 and related topics
- Evaluates provider performance and develops strategic plan to improve performance
- Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
- Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC)
- Develop proficiency in tools and value-based performance (VBP) and educate providers on use of tools and interpretation of data
Provider Network Coordinator Requirements:- Bachelors Degree
- 3 years of provider relations, provider claims, or provider contracting experience
- Knowledge of Medicare/Medicaid
- Strong computer skills
- Good job tenure - 1-2 years in previous roles
- WFH Capability - smart phone, private work space, high speed internet
- Clear and active DMV report, reliable transportation, and active insurance
Location: Remote in New Hampshire *may be provider office visits involved
Hours for this Position: Monday - Friday 8:00am - 5:00pm
Start Date: As soon as Possible
Advantages of this Opportunity:- Starting pay is $35.00 to $38.00 hourly.
- Benefits offered, Medical, Dental, and Vision
- Opportunity to grow your career with a LARGE managed care provider.
- Fun and positive work environment
Why You Should Work For Us:
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 distinguished 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!
Interested in being Considered?
If you are interested in applying for this position, please click Apply Now or email your resume directly to, dross@healthcaresupport.com
Delilah Ross
Dross@healthcaresupport.com
Refer potential candidates! We provide a bonus to referrals who get placed and complete at least 45 days! Use this referral link: https://sensereferrals.com/healthcare-support/r/2940471
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.
- 10 Days Ago
Provider Network Operations Data Analyst Sr (hybrid)
- AmeriHealth Caritas Health Plan
-
Manchester, NH
FULL_TIME
- 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....
- 2 Days Ago
Provider Communications Specialist Sr
- AmeriHealth Caritas Health Plan
-
Manchester, NH
FULL_TIME
- Responsibilities: The Senior Communications Specialist is responsible for all communication tasks that impact either internal or external customers from the provider perspective: coordination of all w...
- 22 Days Ago
Network Trainer
- Dunkin' | Cadette/Nadreau Network
-
Greenville, NH
PART_TIME,FULL_TIME
- Train and coach team members on their roles and responsibilities and ensure they are meeting all Brand and food safety standards. Train restaurant team members and ensure completion of required traini...
- 1 Month Ago
Family Medicine APRN / PA
- Weeks Medical Center - PROVIDER
-
Colebrook, NH
FULL_TIME
- Job SummarySeeking a Full-time board certified Advanced Practice Provider to join a well established team in rural health clinic system in Colebrook, NH and form strong relationships with grateful pat...
- Just Posted
Family Medicine APRN / PA
- Weeks Medical Center - PROVIDER
-
Lancaster, NH
FULL_TIME
- Position DetailsEmployment Status: Full-TimeHours/Pay Period: 80Is Remote: NoShift: DaysWork Schedule: M-FSplit office locations between Whitefield and Lancaster Outpatient ClinicsJob SummarySeeking a...
- 1 Day Ago
Provider Network Specialist jobs at Popular Companies
Network Engineer
- Maxar Technologies
-
Westminster, CO
- Please review the job details below. Maxar Intelligence is a provider of secure, precise, geospatial intelligence. We de...
- 4/26/2024 12:00:00 AM
Network Engineer
- General Dynamics Information Technology
-
Camp Smith, HI
- Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
- 4/25/2024 12:00:00 AM
Network Engineer
- General Dynamics Information Technology
-
- Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
- 4/25/2024 12:00:00 AM
Network Engineer
- General Dynamics Information Technology
-
- GDIT has an exciting opportunity to support U.S. Army Europe and Africa in Wiesbaden Germany as a member of our Enterpri...
- 4/25/2024 12:00:00 AM
network engineer / network admin
- Randstad
-
Milpitas, CA
- network engineer / network admin.milpitas , californiaposted 2 days agojob detailssummary$45 - $50.63 per hourcontractba...
- 4/24/2024 12:00:00 AM
Network Engineer
- Govcio LLC
-
Raleigh, NC
- Overview: GovCIO is currently hiring for a Senior Wi-FI Engineer in Raleigh, NC. This position requires a RCDD certifica...
- 4/22/2024 12:00:00 AM
Network Engineer / Network Technician
- System One Holdings, LLC
-
Phoenix, AZ
- Please send me your details (resume, work authorization status, current location, availability and compensation expectat...
- 4/22/2024 12:00:00 AM
Network Engineer
- Leidos
-
Albuquerque, NM
- Description Leidos is seeking a mid-level Network Engineer to join our team. This is an excellent opportunity for someon...
- 4/17/2024 12:00:00 AM
About New Hampshire
New Hampshire is part of the six-state New England region. It is bounded by Quebec, Canada, to the north and northwest; Maine and the Atlantic Ocean to the east; Massachusetts to the south; and Vermont to the west. New Hampshire's major regions are the Great North Woods, the White Mountains, the Lakes Region, the Seacoast, the Merrimack Valley, the Monadnock Region, and the Dartmouth-Lake Sunapee area. New Hampshire has the shortest ocean coastline of any U.S. coastal state, with a length of 18 miles (29 km), sometimes measured as only 13 miles (21 km). New Hampshire was home to the rock forma...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$59,459 to $88,892
Most Popular Cities in New Hampshire for Provider Network Specialist Jobs
What does a Provider Network Specialist do?
Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019