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Provider Partners Health Plan1 day ago

Provider Network Specialist

Remote

Type
Contract
Level
Mid Level
Education
Associates Degree
Company size
Large

Job Summary

Provider Network Specialist responsible for supporting provider contracting activities through preparation, processing, execution, and maintenance of provider agreements and amendments; drafting, distributing, tracking, and maintaining contracts; managing contracting workflows and status in designated systems; monitoring activities to meet timelines; maintaining contract records and supporting documentation for regulatory/audit readiness; supporting onboarding through contract-related outreach and data validation; coordinating contracting activities to support network development and market expansion; involvement in special projects and other duties as assigned.

Required Qualifications

  • Associate degree in Business, Healthcare Administration, or a related field preferred; equivalent combination of education and relevant experience will be considered.
  • Minimum of 1-3 years of experience in healthcare administration, provider contracting, provider relations, credentialing, network operations, or a related field.
  • Strong organizational skills with the ability to manage multiple priorities and deadlines.
  • Proficiency in Microsoft Office Suite, including Excel, Word, and Outlook.
  • Experience working with databases, tracking systems, or workflow management tools.
  • Ability to analyze information, identify issues, and follow through on resolution.
  • Strong attention to detail and commitment to accuracy.
  • Excellent written and verbal communication skills.
  • Ability to work independently and collaboratively in a team environment.
  • Must possess valid driver's license.
  • Must be willing to travel within the service area at least 25% of the time
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Provider Partners Health Plan

Provider Network Specialist

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