Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Position Summary
The Data Integrity Specialist is responsible for supporting the Configurations and Data Integrity Manager with the organization's overall claims, eligibility and provider database management, security, and operations. Acts as a liaison between the health plan, external agencies, internal teams to ensure accurate and complete data reporting for provider, credentialing, audits, contracting or various related data.
Duties and Responsibilities
Knowledge
Skills
Job Type: Full-time
Pay: $45,000.00 - $50,000.00 per year
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Work Location: In person