Provider Network Specialist jobs in Michigan

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 Specialist
  • Montcalm Care Network
  • Stanton, MI FULL_TIME
  • General Summary

    Montcalm Care Network has an opportunity for a Provider Network Specialist. Under the supervision of the Fiscal Manager, this position will be responsible for credentialing and privileging processes for external and contracted providers, which consists of performing background checks, verification of professional licensures, etc. Responsible for performing desk and onsite audits of contracted providers to ensure contract compliance.

    Assures external providers maintain licenses, continuing education, and training required for scope of practice and position. Responsible for administration of learning software, including adding, removing and assigning the correct courses based on employees’ position within the agency.

    Employment Qualifications

    Education: High School Diploma

    Experience: Three years of office experience, preferably within a Community Mental Health agency with advanced skill in using Microsoft Office products.

    Other Requirements: Possession of a valid State of Michigan driver's license.

    Salary Range: $19.41 - $26.69 hourly

    Schedule: Monday – Friday.

    Benefits:

    Montcalm Care Network is committed to the wellbeing of our staff, and we have exceptional benefits:

    · Medical/dental/vision coverage

    · Short-term and long-term disability

    · Generous vacation and sick leave

    · Employer provided life insurance

    · 457(b) retirement savings with an employer contribution

    · Opportunities for employer funded professional development to meet continuing education requirements

    · Free membership to our locally owned gym- Wellness Works!

    · Tuition reimbursement or loan forgiveness programs

    Student Loan Repayment: MCN is an approved National Health Service site (NHSC, a loan repayment program); in addition to Public Service Loan Forgiveness (PSLF), and MDHHS Behavioral Health Loan Repayment Program (BHLRP) for qualified positions. MCN offers additional tuition reimbursement as well as loan reimbursement options of up to $5,250 per year.

    Job Type: Full-time

    Pay: $19.41 - $26.69 per hour

    Expected hours: 40 per week

    Schedule:

    • Monday to Friday

    Work Location: In person

  • 2 Days Ago

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Contract & Provider Network Specialist - Finance
  • Community Mental Health Authority
  • Lansing, MI FULL_TIME
  • CMHA-CEI is a Michigan Certified Bronze Level Veteran Friendly Employer and we encourage active military service member, veterans, and their family member to apply. Responsibilities: Under the directi...
  • 19 Days Ago

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Senior Provider Network Specialist (Michigan)
  • Curana Health
  • Detroit, MI OTHER
  • Job Details Job Location: Detroit, MI - Detroit, MI Position Type: Full Time Salary Range: Undisclosed DescriptionCurana Health is a provider of value-based primary care services exclusively for the s...
  • 2 Months Ago

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Remote Job Opportunity | Provider Network Specialist 1 | 6-months (Possible Extension)
  • Pyramid Consulting, Inc
  • Various, MI CONTRACTOR
  • Title: Provider Network Specialist 1 Location: Remote - MI Duration: 6 months (Possible Extension) Shift: 8 AM – 5 PM EST (Mon to Fri) Job Description: Perform duties to act as a liaison between provi...
  • 25 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Taylor, MI 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....
  • 7 Days Ago

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Healthcare Provider Network Contractor
  • EWINGS INC.
  • Macomb, MI 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

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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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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
  • 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

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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

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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

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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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$57,968 to $86,667

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