Provider Network Specialist jobs in Indiana
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
Manager, Provider Network Performance
- CareSource Management Services LLC
-
Indiana, IN
FULL_TIME
- Job Summary: The Manager, Provider Network Performance provides leadership and direction to staff to ensure the goals of the department are successfully achieved. Essential Functions: Ensure accurate and timely implementation of new Value Based Reimbursement (VBR) initiatives Lead value-based reimbursement team projects focused on the continued development and automation of VBR programs Assist in development of action plans throughout the business and establish control plans for implemented projects Work collaboratively and lead initiatives with various business units in identification, definition and communication of process metrics Prepare plans to track project performance and assure timely completion and achievement of project deliverables Identify and document opportunities for improvement with markets and business units as well as internally to the department Report and communicate the results from process improvement efforts to leadership Perform capability diagnostics utilizing process improvement tools, available metrics and business rules Responsible for robust competitor and provider competitive analysis and the creation of other information to formulate a business decision related to the provider network, defining gaps between current state and industry best practices Design future state network performance models that addresses opportunities uncovered during current state analysis Determine and document the impact of change on cross functional processes and collaborates with cross functional teams to address the associated risks of change Define and install processes, tools, and systems that allow for and support formal VBR reporting architectures, KPI controls and network performance transparency Perform Business Process Mapping – Current State and To-Be concepts and processes Research and make recommendations on new innovation around VBR and development of new initiatives Work with Senior Management to strategize and coordinate development of future VBR programs Develop enhanced VBR program tracking and reporting Develop and report on key accomplishments and issues to upper management Responsible for hiring, training and developing staff effectively, while ensuring a strong, competent and talented team of high integrity professionals Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary Perform any other job duties as requested Education and Experience: Bachelor’s Degree in Business Administration, or related field is required Three (3) years of provider operations experience is required Minimum one (1) year of management experience is required Provider contracting experience is preferred Competencies, Knowledge and Skills: Proficient with Microsoft Office to include Word, Excel and PowerPoint Excellent written and verbal communications skills Ability to develop, prioritize and accomplish goals Strong interpersonal skills and high level of professionalism Effective listening and critical thinking skills Effective problem-solving skills with attention to detail Ability to work independently and within a team Excellent leadership skills Ability to create and maintain excellent working relationships Ability to lead and direct the work of others including the development, motivation and rewarding of staff Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time May be required to travel occasionally Compensation Range: $79,800.00 - $127,600.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment. The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.
- 3 Days Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Lafayette, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
- 9 Days Ago
Network and Provider Relations Manager
- CommuniCare Family of Companies
-
Indianapolis, IN
FULL_TIME
- Network and Provider Relations ManagerCommuniCare Advantage, a member of CommuniCare Health Services, is currently recruiting a Network and Provider Relations Manager to support our Medicare Advantage...
- 1 Day Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Crown Point, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider net...
- 1 Day Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Greenwood, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
- 10 Days Ago
Healthcare Provider Network Contractor
- EWINGS INC.
-
Carmel, IN
CONTRACTOR
- In preparation for future projects, EWINGS is seeking to build relationships with Network Contractor professionals that have a minimum of 5 years of experience developing healthcare provider networks....
- 16 Days Ago
Provider Network Specialist jobs at Popular Companies
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
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
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
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
Network Engineer
- Apex Systems
-
Sumter, SC
- Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
- 6/7/2024 12:00:00 AM
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
Network Engineer
- Leidos
-
Arlington, VA
- Description At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are de...
- 6/6/2024 12:00:00 AM
Network Engineer
- Leidos
-
North Charleston, SC
- Description Leidos is actively hiring for an experienced Network Engineer to join our team in North Charleston, SC. This...
- 5/31/2024 12:00:00 AM
About Indiana
Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west.
Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,970 to $85,174
Most Popular Cities in Indiana 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