Talent.com
Provider Network Administration Specialist
Provider Network Administration SpecialistVirtualVocations • Newark, Delaware, United States
Provider Network Administration Specialist

Provider Network Administration Specialist

VirtualVocations • Newark, Delaware, United States
3 days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Specialist, Provider Network Administration.

Key Responsibilities

Validate and maintain provider information in enrollment and provider databases

Collaborate with IT and business teams to improve workflows and project delivery

Generate and prepare provider-related reports to support network management operations

Required Qualifications

Bachelor's Degree or equivalent combination of education and experience

3-5 years of managed care experience, with 2+ years in Provider Claims or Network Administration

3+ years' experience with Medical Terminology, CPT, ICD-9 codes

Intermediate skill level in Access and Excel

Experience in User Acceptance Testing (UAT) is required

Create a job alert for this search

Administration Specialist • Newark, Delaware, United States

Related jobs
Telemedicine Physician

Telemedicine Physician

QuickMD • Chestertown, MD, US
Full-time
QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show more
Last updated: 30+ days ago • Promoted
Network Provisioning Engineer

Network Provisioning Engineer

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Network Provisioning Engineer.Key Responsibilities Design, develop, and modify network solutions to ensure exceptional client experience and service delivery integrity ...Show more
Last updated: 1 day ago • Promoted
Administration Support Specialist

Administration Support Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for an Administration Support Specialist to provide key administrative support for 401(k) Administration Services. Key Responsibilities Manage data entry processes and maintai...Show more
Last updated: 4 days ago • Promoted
Idaho Licensed Administration Specialist

Idaho Licensed Administration Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for an Administration Support Specialist to provide support for 401(k) Administration Services.Key Responsibilities Manage data entry processes for accurate plan and particip...Show more
Last updated: 4 days ago • Promoted
Provider Contracting Specialist

Provider Contracting Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Provider Contracting Specialist to support the development and maintenance of its Medicare Advantage provider network. Key Responsibilities Draft, negotiate, and execute...Show more
Last updated: 30+ days ago • Promoted
Contractor Network Coordinator

Contractor Network Coordinator

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Contractor Network Coordinator.Key Responsibilities Reviews and processes compliance documents for onboarding and existing Contractor Accounts Obtains necessary creden...Show more
Last updated: 18 hours ago • Promoted • New!
Provider Enrollment Specialist

Provider Enrollment Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Specialist Provider Enrollment.Key Responsibilities Complete pre-enrollment questionnaires and ensure the correct enrollment methods / forms are utilized Submit enrollme...Show more
Last updated: 30+ days ago • Promoted
ABA Client Intake Specialist

ABA Client Intake Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Client Intake Specialist.Key Responsibilities Serve as the first point of contact for families seeking services and gather intake documentation Verify insurance covera...Show more
Last updated: 18 hours ago • Promoted • New!
California DME Reimbursement Specialist

California DME Reimbursement Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a DME Reimbursement Specialist.Key Responsibilities Conduct billing review and claim generation for DME / HME orders Manage A / R and denial management, including denied cla...Show more
Last updated: 2 days ago • Promoted
Network Operations Manager

Network Operations Manager

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Network Operations Manager to shape the future of its clinical provider network.Key Responsibilities Support the development and execution of network growth strategies ...Show more
Last updated: 30+ days ago • Promoted
Oregon Licensed Network Administrator

Oregon Licensed Network Administrator

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Network / Systems Administrator to manage and secure its IT infrastructure.Key Responsibilities Administer and optimize core Microsoft technologies and manage IT infrastr...Show more
Last updated: 30+ days ago • Promoted
Grant Administration Specialist

Grant Administration Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Grant Administration Specialist - Pre-award / Compliance (Hybrid / Remote).Key Responsibilities Analyze funding opportunities and conduct strategic meetings with Principal ...Show more
Last updated: 1 day ago • Promoted
Network Operations Center Manager

Network Operations Center Manager

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Network Operations Center Manager to lead a team of technical support specialists in a 24 / 7 environment. Key Responsibilities Manage and oversee a distributed team of NO...Show more
Last updated: 30+ days ago • Promoted
Provider Technical Specialist

Provider Technical Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Provider Technical Specialist I.Key Responsibilities Ensure providers are entered and administered accurately and promptly Act as a technical advocate for providers wi...Show more
Last updated: 30+ days ago • Promoted
Arizona Administration Support Specialist

Arizona Administration Support Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for an Administration Support Specialist to provide support for 401(k) Administration Services.Key Responsibilities Manage data entry processes for 401(k) plans and participa...Show more
Last updated: 4 days ago • Promoted
Director Network Performance

Director Network Performance

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Director of Network Performance & Engagement.Key Responsibilities Lead initiatives to monitor and improve provider performance focusing on quality, efficiency, cost...Show more
Last updated: 3 days ago • Promoted
Medicare Network Manager

Medicare Network Manager

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Manager, Provider Network - Medicare.Key Responsibilities Oversee recruitment, contracting, and onboarding of providers to ensure network adequacy for Medicare Advantag...Show more
Last updated: 20 hours ago • Promoted • New!
Contract Administration Specialist

Contract Administration Specialist

VirtualVocations • Newark, Delaware, United States
Full-time
A company is looking for a Contract Admin Project.Key Responsibilities Clean up contract folders by renaming and separating files Implement naming conventions and guidelines for contract documen...Show more
Last updated: 2 days ago • Promoted