Provider Network Specialist jobs in Farmington, NM

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 Specialist
  • North Central New Mexico Economic Development District
  • Santa Fe, NM FULL_TIME
  • Job Opportunity


    JOB TITLE: Provider Specialist


    SALARY RANGE: Based on experience and qualifications


    JOB DESCRIPTION: This position will be responsible for assisting with oversight of Non-Metro Area Agency on Aging service providers including assessments, technical assistance, program and policy compliance, etc. This position will also assist with providing training, coordinating training with other agencies and organizations. This is a full time, non-exempt position with extensive travel throughout the state.


    DUTIES & RESPONSIBILITIES

    Duty

    Percent of total

    Responsible for assessments, technical assistance, program and policy compliance with designated providers/vendors

    80%

    Responsible for assisting with Non-Metro AAA provider training

    10%

    Assistance with Non-Metro AAA program duties as assigned

    10%


    This position requires frequent travel and deals with non-routine as well as repetitive assignments. Close and effective working relationships with providers are a must. Leadership qualities and communication skills are required.


    EXAMPLES OF WORK PERFORMED

    • Monitor/assess service provider performance for contract compliance in all areas of service delivery and program development
    • Monitor service provider goals and objectives for compliance
    • Assist service providers to ensure reporting requirements are met
    • Work to ensure accuracy and accountability of service providers
    • Conduct and coordinate training for service providers
    • Provide information, assistance, support, training, outreach and advocacy to seniors, people with disabilities, caregivers and others
    • Review and evaluate evidence-based programs
    • Make recommendations for improvement of long-term care services delivery and/or contract compliance
    • Assist in development of a comprehensive outreach program to include developing and implementing promotional and marketing programs and materials
    • Collaborate with local, state entities to identify the interests and priorities of communities and implement plans, programs and projects
    • Assist in the planning and implementation of public hearings
    • Work closely with the Aging and Disability Resource Center
    • Responsible for maintaining all documentation
    • Contribute to team effort by accomplishing related results as needed
    • Other duties assigned or necessary to meet the goals and objectives of NCNMEDD


    QUALIFICATIONS AND SKILLS REQUIRED

    • Program management or relatable experience, preferably in senior services
    • Demonstrated understanding and application of applicable federal, state, and local regulations and policies
    • Demonstrated understanding and application of program planning concepts, principles, and practices
    • Demonstrated ability to design corrective action plans, assist in attainment of goals, and to identify problem areas
    • Requires strong coordination at the local, state, and federal level to develop and provide assistance that is applicable and accessible to the service provider needs
    • Valid New Mexico driver's license that will allow the candidate to travel and oversee provider sites and projects

    KNOWLEDGE AND ABILITIES

    • Good managerial and supervisory skills.
    • Knowledge of problem-solving techniques and ability to make good, sound judgment decisions
    • Ability to establish priorities and to assess and prioritize multiple tasks, projects and demands
    • Maintain effective working relationships with NCNMEDD staff, contractors, and Board members
    • Knowledge of federal, state, and local regulations and policies
    • Experience with budgeting principles and practices and ability to analyze financial information
    • Good oral and written communication skills
    • Ability to work and perform in conflict/crisis environments
    • Knowledge of program planning concepts, principles, and practices
    • Demonstrate behavior that maintains the organization's credibility, integrity, and positive image in the community

    SUPERVISORY RESPONSIBILITIES

    This is not a supervisory position.


    PHYSICAL DEMANDS

    This position requires basic physical demands for working in an office environment including, sitting for long periods, using computers and other typical office equipment, driving a car/van, carrying documents, and walking.


    TRAINING

    No special training is required for this position. Standard training for all employees will be applied to this position as well as any training deemed beneficial by management in the future.


    DECISION-MAKING

    This position requires typical decision-making responsibilities required in a day-to-day office working environment.


    COMMUNICATIONS

    Interacts with NCNMEDD employees and contractors, New Mexico state agency staff, state and local elected officials, the public, and private and/or corporate entities.


    EQUIPMENT USED

    Typical office equipment will be used such as computers, calculators, phones, copier/printers, projectors, and cars/vans.


    WORK ENVIRONMENT

    This position will work in a standard, smoke-free, indoor office environment with other staff. The position requires extensive travel.


    CONDUCT

    The North Central New Mexico Economic Development District (NCNMEDD) has a direct and vital impact on the quality of life for those we serve. Accordingly, the services we provide require honesty, impartiality, and fairness, and must be dedicated to the protection and promotion of the public health, safety, and welfare. As an employee and representative of NCNMEDD and its Board of Directors, all personnel are required to exhibit and practice the highest standard of honesty and integrity and must perform under a standard of professional behavior that requires adherence to the highest principles of ethical conduct in all aspects of the position.


    APPLICATION DETAILS

    Salary commensurate with qualifications and experience. Quality benefits package includes medical, dental, vision, paid time off and PERA retirement.

    Candidate selected for full-time employment must successfully complete all pre-employment requirements (drug test and background check) prior to commencing employment.

    Complete NCNMEDD Employment Application online on NCNMEDD website www.ncnmedd.com. Application Deadline: Until Filled

    Questions: Please contact Nancy Arias-Macias, Non-Metro AAA Director, at 505-356-9521 or nancyam@ncnmedd.com.

  • 23 Days Ago

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Provider Specialist-PSA 4
  • North Central New Mexico Economic Development District
  • Santa Fe, NM FULL_TIME
  • NORTH CENTRAL NEW MEXICO ECONOMIC DEVELOPMENT DISTRICTJob OpportunityJOB TITLE: Provider Specialist PSA 4SALARY RANGE: Based on experience and qualificationsJOB DESCRIPTION: This position will be resp...
  • 2 Days Ago

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IT Services Specialist
  • US Oncology Network-wide Career Opportunities
  • Santa Fe, NM FULL_TIME
  • OverviewSCOPE: The US Oncology Network is a group of community-based healthcare centers that provide, diagnosis, treatment, and management of an individual... Under general direction, provides on-site...
  • 8 Days Ago

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Stretch Provider
  • Massage Envy
  • Santa Fe, NM OTHER
  • Overview Where Better Careers Begin!Massage Envy 3490 Zafarano Drive Suite A, Santa Fe, New Mexico 87507 Are you ready to use your bodywork skills in a whole new way? Combine your skills with massage ...
  • 1 Month Ago

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Network Support Professional
  • GEM Technologies Inc.
  • Los Alamos, NM FULL_TIME
  • GEM Technologies, Inc. (GEM) is seeking a Network Support Professional to join our team at the Los Alamos National Laboratory in Los Alamos, NM, which provides integral mission support to the NNSA. To...
  • Just Posted

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Network Systems Tec 4
  • Edgewater Technical Associates
  • Los Alamos, NM FULL_TIME
  • Edgewater is seeking qualified candidates for a Network Systems Tec 4 opportunity for our customer in Los Alamos, NM to support the LANL Facility. Location: 100% Onsite, TA60-175 Schedule: 5-8s Group/...
  • 2 Days Ago

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0 Provider Network Specialist jobs found in Farmington, NM area

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Information/Database Management Specialist
  • MILVETS Systems Technology, Inc.
  • Kirtland, NM
  • MILVETS is currently seeking a full time Information/Database Management Specialist About the company: Since its foundin...
  • 3/28/2024 12:00:00 AM

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Information Technology Security Analyst
  • Southern Ute Shared Services
  • Ignacio, CO
  • Southern Ute Shared Services Information Technology Security Analyst Ignacio or Denver, CO Collaborates with SUSS teams ...
  • 3/28/2024 12:00:00 AM

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Travel Radiology Technologist - $2,662 per week
  • TRS Healthcare
  • Farmington, NM
  • Supplemental Health Care is seeking a travel Radiology Technologist for a travel job in Farmington, New Mexico. Job Desc...
  • 3/27/2024 12:00:00 AM

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Nurse Practitioner
  • Presbyterian Medical Services
  • Farmington, NM
  • Job Description This is a professional position involving provision of direct patient care. Although most activities are...
  • 3/27/2024 12:00:00 AM

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Sales Coordinator & Systems Administrator
  • Nemacolin Woodlands, Inc.
  • Farmington, NM
  • ** Sales Coordinator & Systems Administrator** **Job Category****:** Sales **Requisition Number****:** SALES04788 Showin...
  • 3/26/2024 12:00:00 AM

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Oracle Health / Cerner - Senior Manager & Application Leader, ONSITE - Farmington, New Mexico
  • Oracle
  • Farmington, NM
  • Oracle Health / Cerner - Senior Manager & Application Leader, ONSITE - Farmington, New Mexico This Application Leader ro...
  • 3/25/2024 12:00:00 AM

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PT Care Team Support Associate (Work From Home)>
  • CircleLink Health
  • Farmington, NM
  • [Customer Service / Fully Remote] - Anywhere in U.S. / $20 per hour - As a Care Team Support Associate you'll: Address q...
  • 3/25/2024 12:00:00 AM

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Member Support Associate (Work From Home)>
  • Modern Health
  • Farmington, NM
  • [Customer Service / Remote] - Anywhere in U.S. / Competitive Pay / Medical, Dental, Vision, Disability & Life Insurance ...
  • 3/24/2024 12:00:00 AM

Farmington (Navajo: Tóta) is a city in San Juan County in the U.S. state of New Mexico. As of the 2013 population estimate from the United States Census Bureau the city had a total population of 45,426 people. Farmington (and surrounding San Juan County) makes up one of the four Metropolitan Statistical Areas (MSA's) in New Mexico. The U.S. Census Bureau's population estimate in 2011 for Farmington was about 45,256. Farmington is located at the junction of the San Juan River, the Animas River, and the La Plata River, and is located on the Colorado Plateau. Farmington is the largest city of San...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$54,561 to $81,594
Farmington, New Mexico area prices
were up 2.5% 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