Provider Network Specialist jobs in Georgia

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)

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Provider Network Manager
  • Sidecar Health
  • Atlanta, GA FULL_TIME
  • Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.

    The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.

    If you want to use your talents to transform healthcare in the United States, come join us!

    **Must reside in Georgia or Florida for consideration**

    About the Role 

    Our Provider Team is the bridge that connects Sidecar Health members to their healthcare providers. We’re growing our team and looking for experienced, passionate people to join us and help deliver the best member and provider experience in healthcare.   

    As a Provider Network Manager, you will spearhead our provider engagement initiatives in Georgia or Florida by skillfully navigating hospital contract negotiations, cultivating strong relationships, and ensuring top-notch servicing.  

    What You'll Do 
    • Grow and retain Sidecar Health membership through best-in-class provider access and pricing  
    • Lead all provider contracting efforts in Georgia or Florida (depending on your location), concentrating on establishing new hospital relationships through the development and implementation of innovative strategies  
    • Perform complex negotiations in collaboration with our Legal and Actuarial teams  
    • Serve as the liaison between hospitals, professional providers, and Sidecar Health  
    • Represent the Provider team in cross-functional projects, contributing expertise in collaboration with the Member Care, Claims, Marketing, Sales, Account Management, and Actuarial teams  
    • Collaborate with the Claims, Product, and Engineering teams to support the development of our contract management solution  
    • Develop new processes for cultivating and maintaining provider relationships  

    What You'll Bring 

    • 5 years of experience in healthcare or insurance
    • 3  years of experience in provider contracting and provider relations, with a focus on hospital negotiations 
    • Extensive knowledge of the provider community in Georgia or Florida (depending on your location), including prior relationships with hospitals and major physician groups in your state
    • Deep understanding of the current healthcare landscape coupled with the adaptability to reimagine insurance and envision the future of healthcare operations 
    • Excellent cross-functional communication and collaboration skills 
    • Tenacity and adaptability that enables you to thrive in a fast-paced and quickly evolving startup environment 
    • Exceptional ability to communicate complex healthcare concepts effectively to various stakeholders including senior leadership 
    • Bachelor's degree 

    What You'll Get

    • Competitive salary, bonus opportunity, and equity package  
    • Comprehensive Medical, Dental, and Vision benefits
    • A 401k retirement plan
    • Paid vacation and company holidays
    • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

    Sidecar Health adopts a market-based approach to compensation, where base pay varies depending on location and is further influenced by job-related skills and experience. The current expected salary range for this position is $125,000 - $140,000.

  • 18 Days Ago

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Provider specialist
  • KARNA LLC
  • Atlanta, GA FULL_TIME
  • The Provider Relations Specialist is responsible for maintaining and improving existing provider relationships through communication, provider support, analysis, problem solving and education in suppo...
  • 3 Days Ago

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Network Specialist
  • Prestige Staffing
  • Lawrenceville, GA TEMPORARY
  • Our client is seeking a Juniper Network Configuration Specialist. They are looking for someone who is able to read and interpret Cisco configurations and apply equivalent settings on Juniper devices u...
  • 12 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • Holly Springs, GA FULL_TIME
  • Holly Springs, GeorgiaJob Type Full TimeSchedule DaysPay Depends on ExperiencePatients Per Day 16 - 18EMR System - EpicWork Location Clinical OncologyJob ID 51089Job DescriptionA Holly Springs, Georgi...
  • 7 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • Marietta, GA FULL_TIME
  • Job Type Full TimeSchedule DaysPay Depends on ExperiencePatients Per Day 14 - 16EMR System - EpicWork Location Clinical OncologyJob ID 51088Job DescriptionA Marietta, Georgia based client is seeking a...
  • 8 Days Ago

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Advanced Practice Provider
  • Provider Healthcare
  • La Grange, GA FULL_TIME
  • Job Type Full TimeSchedule DaysPay - Depends on ExperiencePatients Per Day 14-16EMR System - E-ClinicalWork Location Outpatient, all agesJob ID 51107Job DescriptionA LaGrange, Georgia based client is ...
  • 8 Days Ago

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Network Engineer
  • Apex Systems
  • Sumter, SC
  • Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
  • 6/12/2024 12:00:00 AM

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Network Engineer
  • QinetiQ
  • Reston, VA
  • Company Overview We are a world-class team of professionals who deliver next generation technology and products in robot...
  • 6/11/2024 12:00:00 AM

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Engineering - Network Engineer Mid
  • Pyramid Consulting, Inc
  • Enon, OH
  • Immediate need for a talented Engineering - Network Engineer Mid. This is a 12+ Months Contract opportunity with long-te...
  • 6/11/2024 12:00:00 AM

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Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered)
  • Sharp Decisions
  • Graham, NC
  • Title : Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered) Contract duration : 1...
  • 6/10/2024 12:00:00 AM

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Network Engineer
  • Kinettix
  • Kahului, HI
  • Job Description: Independent Contractor Contract to Hire Job Title: Network Technician Responsibilities: Work a minimum ...
  • 6/9/2024 12:00:00 AM

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Sr. Specialist Network Engineer
  • IT
  • Phoenix, AZ
  • Nestlé Information Technology is the digital arm of the world’s largest nutrition, health, and wellness company. With 15...
  • 6/8/2024 12:00:00 AM

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Network Engineer
  • Raytheon Technologies
  • Sterling, VA
  • Date Posted: 2024-02-06 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
  • 6/8/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Norfolk, VA
  • Description Leidos is a FORTUNE 500 company bringing a mix of innovative technology and sector expertise to customers in...
  • 6/7/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,793 to $84,911

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