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PROVIDER NETWORK SPECIALIST

NETWORK RELATIONS - Manage the negotiation of individual network contracts with hospitals, physician groups, and other health care related agencies and companies in New Mexico and West Texas. NETWORK RELATIONS - Manage negotiation...

CompanyUnm Hospitals
AddressAlbuquerque, NM
CategoryInformation Technology
Salary$27.51 - $41.26 an hour
Job typeFull-time
Date Posted 4 weeks ago See detail

PROVIDER NETWORK SPECIALIST

Unm Hospitals

Albuquerque, NM

$27.51 - $41.26 an hour

NETWORK RELATIONS - Manage the negotiation of individual network contracts with hospitals, physician groups, and other health care related agencies and companies in New Mexico and West Texas. NETWORK RELATIONS - Manage negotiation...

Provider Network Specialist

North East Area

Tewksbury, MA

$73,566.74 - $107,580.72 a year

Review, summarize and analyze data from multiple sources (e.g., billing and utilization data, quality measures, licensing reports, meeting minutes, service contracts, etc.) to assess compliance with contract and service requiremen...

Provider Network Specialist

Lowe's

Olin, NC

$20.28 - $33.81 an hour

Reviews and validates the accuracy of the third-party PROvider information based on the Risk Management & Service Support guidelines Manages the set-up process for all PROviders through various Lowe's based systems Processes and v...

Provider Network Relations Quality Specialist

Acuity International

Cape Canaveral, FL

$41.6K - $52.7K a year

Review, research, and respond to Provider Network quality requests submitted through the Provider Information Network System (PINS) ticketing system. Collaborates with program management and medical staff as necessary. Develop tra...

Provider Network Access Specialist - Remote in New Mexico

Unitedhealthcare

Albuquerque, NM

$60.5K - $76.6K a year

Confirm contract compliance specifics to meet the needs Turquoise Care contract network standards. Work with cross-functional teams within UnitedHealthcare to strengthen Provider Networks across multiple functions including but no...

Provider Network Data Specialist

Presbyterian Healthcare Services

Albuquerque, NM

Up to $32.17 an hour

Full Time - Exempt: Yes Job is based Rev Hugh Cooper Admin Center Work hours: Days Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employee...

Medical Provider Network Development Specialist

Teksystems

Chicago, IL

Identify, initiate, follow-up, negotiate, and finalize effective contracts and renegotiation efforts with providers. Work jointly with District Manager (or above) and management team to set targets based on client needs and strate...

Provider Network Development Specialist

Apex Health Solutions

Houston, TX

Responsible for provider research, analysis, & data maintenance to ensure viable and adequate Provider Network(s). Supports the Network Development team with provider outreach and contracting processes. Obtains and maintains requi...

Network Specialist

Truity Credit Union

Bartlesville, OK

Knowledge of: Telecommunications system providers Planning and development, capacity, structure, installation, and maintenance Technology and various software systems Problem solving of complex technological environments Engineeri...

Technology Services - Network Specialist II

Columbia Public Schools

Columbia, MO

Oversee the District's WAN\LAN infrastructure, voice and video networks, Internet Access, system wide services. Manages Mitel VOIP servers and voice equipment for district internal and external communications. Assist with network...

Healthcare Provider Network Contractor

Ewings Associates

El Paso, TX

New projects are starting all the time, so now is your chance to introduce yourself to our organization and join our roster of exceptional talent. - Track the progression of contracts as they flow through the process and follow-up...

Accounts Receivable Out of Network Specialist

Action Behavior Centers

Remote

From $55,000 a year

Manage Accounts Receivable processes for Out of Network claims, including billing, payment posting, and follow-up. Utilize Central Reach, Sales Force, Excel, and the Google suite of products to track and manage Out of Network clai...

Intermediate Information Assurance Network Specialist

Pacarctic Llc

Arlington, VA

$74.9K - $94.8K a year

Support system A&A activities, to include pre-assessment control reviews, artifact gathering, system security and associated plan updates, and other documentation review and updates for OIG systems and applications. Support creati...

Provider Network Manager Sr.

Elevance Health

DENVER, CO

Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. . Works independently and requires high level of judgment and discretion. . May work on projects impacting the busi...

Home Networking Specialist-Network Technician

Matrix Solution, Inc.

Mississippi, United States

$45,000 - $80,000 a year

401(k). Dental insurance. Vision insurance. 8 hour shift. Monday to Friday. Weekends as needed. Mississippi: Relocate before starting work (Required)....

Network Specialist III

Windham School District

Huntsville, TX

$70 an hour

Travel to Windham campuses to perform computer system support and network management functions as needed and/or assigned.2. Assist with the installation, configuration and troubleshooting of LAN components such as routers, hubs, s...

Site System Engineer 1 - Telecom Network Specialist

Synergy Ecp Llc

Annapolis Junction, MD

$106K - $135K a year

Linux Ciena NiFi Must be fully cleared with the appropriate MPO client polygraph. Compensation: We offer highly competitive compensation so everyone can share in the growth of the company as we build its success together! Health &...

Network Relations Specialist

Elevance Health

INDIANAPOLIS, IN

Works with operational departments to address provider grievances and service issues . Provides explanations to providers regarding contract compliance, company procedures and policies, etc . Recruits, orients and provides high q...

Network Data Specialist I

Elevance Health

Miami, FL

Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. . Validates the data to be housed on provider databases and ensuring adherence to business and sy...

Provider Network Manager

Elevance Health

PALO ALTO, CA

Primary focus of this role is contracting and negotiating contract terms with recruitment and renewals for Medicaid FFS providers and support all lines of business Commercial, Medicare Advantage, & Medicaid for local Ancillary pro...

Networking Specialist

Mpd Inc

Owensboro, KY

Ability to terminate various communication cables (copper/fiber). Understanding of voice/data convergence, unified communications & IP networking. Be able to troubleshoot, repair, and install the related technological solutions as...

Security Network Specialist

Mannington Mills, Inc

Calhoun, GA

$78K - $98.8K a year

Oversee the implementation, configuration, and management of firewall next-generation services. Manage Windows Operating Systems security, including patch management, configuration hardening, and vulnerability remediation. Design,...

Product Marketing Specialist - Network/Cloud Security

Sonicwall

Remote

$86.7K - $110K a year

Develop messaging and positioning for products and services in Network / Cloud Security. Analyze market size and competitor information. Manage the Network Security portfolio launch cycle and create collateral to support product l...

IT CYBERSECURITY SPECIALIST (NETWORK)

U.s. Marine Corps

Camp Pendleton, CA

$82,633 - $107,421 a year

BenefitsA career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career v...

Provider Network Manager Sr

Elevance Health

INDIANAPOLIS, IN

Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. . Works independently and requires high level of judgment and discretion. . May work on projects impacting the busi...

Network Permitting Specialist

E-Talent Network

Englewood, CO

Schedule: Hybrid with Monday thru Thursday in the office and Friday is an optional WFH day.Top Skills: Organized and detail oriented, effective communicator (strong written communication especially), strong systems-thinking. Must...

Provider Network Contract Administrator

Chpw

Seattle, WA

Strive to apply an equity lens to all our work. Reduce health disparities. Become an anti-racist organization. Create an equitable work environment. Have a minimum of two (2) years of experience in contracting and/or contract mana...

Network Delivery Specialist | Project Management

Energy Jobline Zr

Birmingham, AL

Expertise in large-scale technical delivery. Experience working within high-profile, critical, and complex project deliveries. Experienced in technical delivery of large-scale complex projects and Agile delivery practices. Evidenc...

SharePoint backend Specialist + Network Infra Exp

Nasscomm

Remote

$97.9K - $124K a year

8 hour shift....

Network Operations Specialist

Comtec Information Systems

Melbourne, FL

Up to $38 an hour

Provide technical support for large private communications network. Handle first line of support for customer and field calls into an operations center. Log calls and perform preliminary investigations into reported network issues...