Job Title: Provider Network Consultant
Location: Alb NM or Chicago IL or Oklahoma OK | Remote but training will be onsite
Duration: November 2025 to February 2027 (possible extension)
Pay: $21.00/hr on W2
Positions available: 7
This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
* HS Diploma/GED(education verification required) plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
* Written and verbal communication skills including interpersonal skills.
* Skills to develop training materials and act as an advisor to staff
* Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications:
* Bachelor Degree
* Subject Matter Expert for the Professional Provider Credentialing Process
* 2 years of experience with current government sponsored health insurance networks
* Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
...Directorof Nursing Services (RN) Status: Full-Time Schedule: Monday-Friday Location: Avamere Rehabilitation of Park West - 1703 California Avenue SW - Seattle, WA 98116 Apply at Teamavamere.com Responsible for management of the nursing services department...
...state of Colorado (required before start date) Eligibility to participate in Medicare Board Certification or Eligibility in an ABMS or AOA-recognized specialty (preferred) FMCSA NRCME certification (preferred or willingness to obtain Compensation & Benefits...
Description Early Years Teaching Assistant - RAK Job Description: We are looking for a compassionate Early Years Teaching Assistant to join a well-established nursery in Ras Al Khaimah. Your role will involve supporting the lead...
*Job Overview* We are seeking a dedicated Behavior Technician to join our team. The ideal candidate will have experience working with children... ...development, instructional technology or closely related field. RBT certification.One year of experience working with children of...
A nonprofit organization in New York City is currently seeking a dedicated and compassionate professional to join one of their growing men's shelters in Brooklyn as a Case Manager. About the Opportunity: Start Date: ASAP Assignment Length: 3 to 6 months (possibility...