Provider Network Specialist jobs in Denver, CO

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations and Network Contracting
  • Trek Healthcare, LLC
  • Denver, CO FULL_TIME
  • Description

    Provider Relations and Network Contracting develops the provider network through contract negotiations, relationship development, and servicing for affiliated physician groups. Primary focus of this role is identifying and recruiting providers based on network composition and needs. Deals with affiliated providers and drives and supports value base initiatives.

    The role evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Physician providers and ensuring the network composition includes an appropriate distribution of providers.

    Responsibilities

    • Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls
    • Establish and maintain strong business relationships with assigned providers and internal partners
    • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
    • May assist with identifying and recruiting providers based on network composition and needs.

    Required qualifications:

    • Experience and accustomed to building brand new networks
    • Experience with direct provider contracting.
    • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
    • Experience in developing and managing key provider relationships

    Job Type: Full-time

    Pay: $60,000.00 - $75,000.00 per year

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Denver, CO: Relocate before starting work (Required)

    Work Location: In person

  • 23 Days Ago

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Network Specialist
  • Transdev
  • Denver, CO FULL_TIME
  • Become a Network Specialist with Transdev! About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maint...
  • 2 Months Ago

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Employment Specialist
  • AllHealth Network
  • Littleton, CO FULL_TIME
  • Can you join AllHealth Network? Yes you can - if you're excited by the thought of working with over 500 colleagues, 18,000 clients, being valued for the work that you do and can embrace the mission of...
  • 1 Month Ago

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Journeyman Network Support Specialist
  • Leader Communications Inc
  • Denver, CO FULL_TIME
  • Sign-On Bonus available - Up to $1000K. Position SummaryThe Journeyman Computer Network Support Specialist will provide technical expertise on the day-to-day support of by completing all of the techni...
  • 17 Days Ago

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Network Audio Visual Specialist
  • Ampcus, Inc
  • Aurora, CO FULL_TIME
  • 3 mon assignment; Shift: Days, weekends and evenings as needed for events; Float: No; Wkend: As needed; On Call: No Min Reqs: Bachelors, previous exp, Audio Visual specialist with event and video prod...
  • 1 Month Ago

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Data Entry Specialist
  • Seronda Network
  • Denver, CO FULL_TIME
  • Join Seronda Networks as a Data Entry Specialist!About Us: Seronda Networks is not just a workplace; it's a vibrant community where innovation thrives, and every voice is heard. We're committed to pro...
  • 4 Days Ago

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0 Provider Network Specialist jobs found in Denver, CO area

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Sr Network Engineer
  • Starz
  • Greenwood Village, CO
  • Summary of Position The Sr. Network Engineer is part of a highly skilled, experienced and dynamic team within Starz Engi...
  • 3/29/2024 12:00:00 AM

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Network Engineer
  • TalentBridge
  • Greenwood Village, CO
  • We are seeking to hire Network engineers to join our team. This is a hybrid position- 2 days remote, 3 days onsite in Gr...
  • 3/28/2024 12:00:00 AM

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Network Engineer
  • Diverse Lynx
  • Longmont, CO
  • Role: Network Engineer Location: Longmont, CO (Onsite) Type: Permanent JD : Relevant Experience (in Yrs) 5+ Technical/Fu...
  • 3/28/2024 12:00:00 AM

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On-Prem Network Engineer
  • Diverse Lynx
  • Denver, CO
  • Job title:- On-Prem Network Engineer Location:- Denver, CO (3-4 Weeks Onsite & Then 100% remote) Job Type:-Fulltime Resp...
  • 3/28/2024 12:00:00 AM

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Network Engineer
  • Tech Mahindra
  • Thornton, CO
  • JOB DESCRIPTION: Strong Networking/IP skills. The role would require managing lab infrastructure and troubleshooting/fix...
  • 3/27/2024 12:00:00 AM

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Network Engineer
  • Further Enterprise Solutions
  • Littleton, CO
  • Job title: Network Engineer Location: Littleton CO ** Only W2 candidates preferred ** Job Description: We are seeking an...
  • 3/27/2024 12:00:00 AM

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Network Engineer
  • Saxon Global
  • Englewood, CO
  • Network Engineer Long Term Contract Greenwood Village, CO (must be willing to go onsite day 1) Schedule: Hybrid Client D...
  • 3/26/2024 12:00:00 AM

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Senior Network Engineer
  • Professional Employment Group of Colorado
  • Aurora, CO
  • In our IT department, we view business as an ecosystem dedicated to serving the community. Our empathic culture emphasiz...
  • 3/25/2024 12:00:00 AM

Denver is in the center of the Front Range Urban Corridor, between the Rocky Mountains to the west and the High Plains to the east. Denver's topography consists of plains in the city center with hilly areas to the north, west and south. According to the United States Census Bureau the city has a total area of 155 square miles (401 km2), of which 153 square miles (396 km2) is land and 1.6 square miles (4.1 km2) (1.1%) is water. The City and County of Denver is surrounded by only three other counties: Adams County to the north and east, Arapahoe County to the south and east, and Jefferson County...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$59,777 to $89,394
Denver, Colorado area prices
were up 0.4% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020