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Provider Jobs in Raleigh nc

Last updated: 13 hours ago
  • Promoted
Provider Relations Specialist

Provider Relations Specialist

Insight GlobalRaleigh, NC, United States
Full-time
Show moreLast updated: 16 days ago
Respite Care Provider

Respite Care Provider

TLC Laser Eye CentersRaleigh, North Carolina
$11.00 hourly
Show moreLast updated: 30+ days ago
Provider Support Assistant

Provider Support Assistant

Duke HealthRaleigh, NC, US
Show moreLast updated: 30+ days ago

Show moreLast updated: 30+ days ago
Hearing Care Provider- Umstead

Hearing Care Provider- Umstead

WSAudiologyUmstead
$50,000.00–$70,000.00 yearly
Show moreLast updated: 30+ days ago

Show moreLast updated: 30+ days ago
Provider Reimbursement Admin

Provider Reimbursement Admin

Elevance HealthWeston Parkway,Cary,North Carolina
Full-time
Show moreLast updated: 30+ days ago
Provider Technical Business Analyst (HYBRID)

Provider Technical Business Analyst (HYBRID)

Serigor Inc.Raleigh, NC, US
Quick Apply
Show moreLast updated: 30+ days ago
  • Promoted
Provider Enrollment Specialist

Provider Enrollment Specialist

VirtualVocationsRaleigh, North Carolina, United States
Full-time
Show moreLast updated: 2 days ago
  • Promoted
  • New!
Advanced Practice Provider

Advanced Practice Provider

SouthLight HealthcareRaleigh, NC, US
$25.00 hourly
Full-time
Show moreLast updated: 13 hours ago
  • Promoted
Advanced Practice Provider (NP / PA)

Advanced Practice Provider (NP / PA)

Advance Community HealthRaleigh, NC, US
Full-time +1
Show moreLast updated: 7 days ago
  • Promoted
Provider Operations - Consulting Coding, Senior Associate

Provider Operations - Consulting Coding, Senior Associate

PwCRaleigh, NC, United States
$84,000.00–$202,000.00 yearly
Full-time
Show moreLast updated: 2 days ago
Direct Service Provider / DSP

Direct Service Provider / DSP

Easterseals PORT HealthRaleigh, North Carolina, United States
$14.00–$18.00 hourly
Part-time
Quick Apply
Show moreLast updated: 29 days ago
Advanced Practice Provider (APP) – (103106)

Advanced Practice Provider (APP) – (103106)

Physician EmpireNorth Carolina
Show moreLast updated: 30+ days ago
Provider Educator (Remote)

Provider Educator (Remote)

Vaya HealthRemote, NC, US
Remote
Show moreLast updated: 30+ days ago
  • Promoted
Enterprise Sales Director - Healthcare (Provider)

Enterprise Sales Director - Healthcare (Provider)

ServiceNowRaleigh, North Carolina, US
Full-time
Show moreLast updated: 1 day ago
  • Promoted
Advanced Practice Provider

Advanced Practice Provider

Advaita Health Ventures, LLCRaleigh, NC, US
Full-time
Show moreLast updated: 12 days ago
  • Promoted
Adult Neurology Advanced Practice Provider North Carolina

Adult Neurology Advanced Practice Provider North Carolina

K.A. RecruitingRaleigh, NC, United States
Full-time +1
Show moreLast updated: 10 days ago
  • Promoted
Health Provider Network Manager / Consultant

Health Provider Network Manager / Consultant

AccentureRaleigh, NC
$235,000.00 yearly
Full-time
Show moreLast updated: 6 days ago
Hearing Care Provider / Dispensing Audiologist

Hearing Care Provider / Dispensing Audiologist

HearUSACary, NC
$55,000.00–$75,000.00 yearly
Full-time
Show moreLast updated: 30+ days ago
Provider Relations Specialist

Provider Relations Specialist

Insight GlobalRaleigh, NC, United States
16 days ago
Job type
  • Full-time
Job description

Must haves :

  • Ability to explain and interpret program information to clients / customers and staff.
  • Experience working with Medicaid providers and / or in a healthcare setting
  • Ability to convey information and ideas through a variety of media to individuals or groups; ability to adjust language or terminology to meet needs of the recipient(s).
  • Ability to present ideas in written form; ability to adjust language or terminology to meet needs of the recipient(s); ability to use correct grammar, organization, and structure.
  • Ability to utilize office equipment and other technology (software and systems) to meet work needs - proven experience with Microsoft Suite of Products and Adobe products.
  • Ability to facilitate the flow of work and coordinate office support activities with other staff; ability to maintain internal and external contacts for work coordination.
  • Ability to understand issues, identify problems and opportunities to determine the appropriate course of action .

Plusses :

  • Working knowledge of Medicaid data collection and storage to compile, assimilate, and organize printed and electronic information
  • Day to day :

    A government customer is looking for a Provider Relations Specialist to join their team. This person will work with the provider relations and outreach team to carry out the duties associated with onboarding Medicaid health care providers. he primary focus of this role is to be the Medicaid subject matter expert to provide front-line customer service to participating Medicaid health care providers. Serving as the Division of Health Benefits (DHB) Medicaid provider relations liaison, other key aspects of the role includes processing contracts and maintaining a detailed customer database / customer relationship management application. Other duties include :

  • Report activities involving implementation of program objectives using existing procedures or devising new methods as necessary as well as develops and / or revises work procedures ad methods, including necessary forms design
  • Trains employees in work procedures.
  • Maintain operations by following policies and procedures and reporting needed changes to management.
  • Resolve discrepancies by using standard procedures or returning incomplete information to the Business Manager for resolution.
  • Work with and assist Medicaid providers and health plans to help identify their pain points and developing plans for resolution.
  • Assist with opening accounts, updating account information and will work to resolve customer issues via phone or email to ensure timely resolution.
  • Duties performed may also include preparation of Medicaid documents and reports, composition of memos and letters, the use of office technology, compiling records, organizing and maintaining files, posting information, greeting, referring, assisting visitors, clients, staff, and others, mail distribution, and photocopying.