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
...Position Title: Entry Level Editor Location: Remote Project Duration: 3 Months to start with high possibility of extension Job... ...learn new project requirements and deliver to desired productivity, accuracy levels. Communicate and participate on project forums...
...and inspire? At Tonic3 , were searching for a Copywriter, Print & Digital to join our team and be part of an integrated in-house agency, where creatives collaborate with client partners to deliver exceptional work. This is a chance to make a real impact -your...
...Job Title: Weekend Home Health PTA Flexible Saturdays & Sundays Company: Home Health Care, Inc. Schedule: Saturdays AND Sundays Only (every or every-other weekend) Pay: $42 - $46 per visit + Mileage reimbursement between clients Are you a licensed...
..., Instagram, or Youtube functionality Knowledge of fashion & beauty brands and a passion for the fashion & beauty industry Experience in fashion & beauty retail sales or e-commerce is preferred Pay: ~$30.00-$70.00 per hour Schedule: Flexible schedule...
Providence Holy Family Medical Center has an excellent opportunity for a 0.8 FTE board-eligible/board-certified Psychiatrist to join their Behavioral Health Division in Spokane, Washington. You would be joining a group of six consultation psychiatrists, in a hospital department...