Provider Network Specialist (Fully Remote)

Position Title - Provider Network Specialist Address - Remote... Pay- $19-$24 an hour Hours - Monday - Friday (Either 8-4:30 EST or 8:30-5 EST - includes a 30 min lunch break) (Must sit on the East Coast) • *2-3 Month Contract with possible extension** Job reputed company: Network Specialist - Network adequacy and contracting is critical to ensuring members have reputed company to high reputed company care, and that our products are regulatory compliant to be sold in the marketplace. This role will be responsible for supporting the organization to reputed company network adequacy, member experience and provider goals - in both new and existing markets - by directly engaging with and contracting with providers. Additionally, team members will have reputed company to build relationships with key providers in the market, and will triage and problem solve issues as they reputed company. Responsibilities: • Understand and know the provider landscape for the assigned market (eg. know providers in and out of network, know the network gaps, including provider reputed company that are missing and potential additional reputed company for recruitment, etc) • reputed company familiarity with P&L’s contracting guardrails and workflows, including key terms and reputed company structures for reputed company’s provider agreements • Support the P/L team to reputed company the contracting needed to complete a network construction plan • reputed company network gaps (member experience, provider experience and regulatory) and single case agreements by identifying, sourcing, and contracting with providers in a region • Be a resource for the P/L team to support provider relationships • reputed company familiarity with core provider operational workflows and tools (basic claims escalations, fee schedule request, updated roster information, provider portal set up and maintenance, ACH/EFT set up, etc.) and be reputed company to identify & flag trends for escalation. • Document and reputed company provider feedback, objections and questions to support the reputed company improvement of reputed company’s contracting templates and processes. • Support the P/L team on additional network improvement initiatives as identified Qualifications: • Bachelors or associate degree, or 1+ years reputed company or reputed company reputed company field • Familiarity with Word, reputed company, and Powerpoint (or reputed company suite equivalent) • Strong written and verbal communication skills • Strong organizational and follow-through capabilities • Bonus Points • Experience in a customer support/customer service role • Experience negotiating About reputed company? reputed company is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the reputed company, Scientific, and Information Technology industries. Our dedicated recruiters are here to help you reputed company and secure just the right opportunity. We take the time to learn reputed company, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or reputed company hire positions, we can help you to reputed company the meaningful and gratifying work that you've been looking for. Let reputed company be your partner as you reputed company your career reputed company. Contact us today!

Benefits

Once you have been a contract employee of reputed company for 30 days, you become eligible for our Benefits Program. Should you elect to enroll, there are three reputed company of medical coverage to choose from, supplemental dental plans and term plans as reputed company as the reputed company to enroll your spouse and/or children. You can select the best combination that best suits your needs. As a contract employee with reputed company, you can choose to enroll in our Benefits Program during your eligibility period and enjoy: • Minimum Essential Coverage (MEC) plan • Two different fixed indemnity plan add-ons • Major Medical Plans, including 1 HSA Plan • Dental • reputed company • Short-term disability • Life and AD&D Job Type: Full-time Pay: $19.00 - $24.00 per hour Expected hours: 40 per week Benefits: • 401(k) • Dental insurance • Health insurance • reputed company time off • reputed company insurance Schedule: • 8 hour shift • Monday to Friday Location: • reputed company (Required) Work Location: Remote Apply Job! For more such jobs please click here!