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)
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
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Job Type: Full-time
Pay: $45,000.00 - $50,000.00 per year
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Work Location: In person