Provider Network Specialist jobs in South Dakota

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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Senior Provider Relations Specialist
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Careers With Purpose

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Cherapa Place Building

    Location: Sioux Falls, SD

    Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $24.00 - $38.50

    Job Summary

    The Senior Provider Relations Specialist is responsible for acting as a resource to all Health Plan employees specifically the employees of the Provider Relations Department. Gains extensive knowledge in the assigned subject matter. For the information system application(s) and a basic working knowledge of the enterprise healthcare information system applications. Uses analytical skills and experiences to investigate/resolve and/or escalate support issues. Incorporates techniques to assist and/or lead training sessions. Must have ability to train and provide documentation of the assigned application to users with varying education and learning abilities. Assists in the creating and maintenance of training documentation or on-line training courses. Utilizes project management principles to assist in achieving states outcomes. Creates and analyzes data reports. Keeps departmental leadership and project leaders advises of outstanding issues and support needs. Performs with a high level of customer service skills on all support and training requirements. Promotes and participates in the team approach to support and manage projects.

    Qualifications

    Minimum of a Bachelor’s degree required, preferable in business, a health care or computer related field.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0188439

    Job Function: General Administration

    Featured: No

  • 10 Days Ago

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Data Network Specialist
  • Vantage Point Solutions
  • Mitchell, SD FULL_TIME
  • Vantage Point Solutions, a growing and dynamic telecommunications consulting and engineering firm, is seeking a qualified individual to join our team of professionals. We have an immediate opening for...
  • 20 Days Ago

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Child Care Provider Outreach Advocacy Specialist
  • Helpline Center
  • Sioux Falls, SD FULL_TIME
  • The Child Care Advocacy Specialist is responsible for the Child Care Helpline program. The Child Care Advocacy Specialist provides South Dakota families with local child care referrals and care coordi...
  • 19 Days Ago

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Childcare Provider
  • The Kids Den
  • Rapid, SD PART_TIME,FULL_TIME
  • Enjoys working with children of all ages!! Duties include multitasking, communication, basic skills that provide prepping meals, feeding, diaper changes, and being able to supervise children during ti...
  • 2 Days Ago

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Childcare Provider
  • Bright Beginnings Childcare and Learning Center
  • Aberdeen, SD FULL_TIME
  • About us Bright Beginnings Childcare and Learning Center is a small business in Aberdeen, SD. We are professional, agile, social and our goal is to Provide the best care and Learning experience possib...
  • 2 Days Ago

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Childcare Provider
  • Creative Kids Preschool & Daycare, Inc.
  • Rapid, SD TEMPORARY,FULL_TIME,PART_TIME
  • Creative Kids Preschool & Daycare, Inc. is looking for a caring, compassionate child care worker. No experience necessary. Creative Kids is committed to providing top quality care and education for ch...
  • 13 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

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$52,800 to $78,940

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