Provider Network Specialist jobs in Kansas

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 Network Manager Sr.
  • Elevance Health
  • KS, KS FULL_TIME
  • Description

    Location: Candidates must reside within the state of Kansas, preferably within 50 miles to Topeka, KS.

    The Provider Network Manager Sr . develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required.  Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.

    Primary duties may include, but are not limited to:

    • Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.

    • Works independently and requires high level of judgment and discretion.

    • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

    • May collaborate with sales team in making presentations to employer groups.

    • Serves as a communication link between professional providers and the company.

    • Ensure that network composition includes an appropriate distribution of provider specialties.  

    • Conducts more complex negotiations and drafts documents.

    • Prepare financial projections and conduct analysis.

    Minimum Requirements:

    • Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Skills:

    • Experience in fee schedule development using actuarial models strongly preferred. .


     

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

  • 4 Days Ago

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Provider Network Manager
  • Elevance Health
  • KS, KS FULL_TIME
  • Description Location: Candidates must reside in Kansas, preferably within a 50 mile commute to Topeka, KS. The Provider Network Manager develops the provider network through contract negotiations (lan...
  • 6 Days Ago

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Network Specialist
  • TEKsystems
  • Topeka, KS CONTRACTOR
  • Description: This Network Specialist position works in the Network and Telecommunication Services department. This position is part of the group that is responsible for the daily operation, monitoring...
  • 4 Days Ago

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Network Specialist
  • TEKsystems c/o Allegis Group
  • Topeka, KS FULL_TIME
  • Job DetailsDescription:This Network Specialist position works in the Network and Telecommunication Services department. This position is part of the group that is responsible for the daily operation, ...
  • 11 Days Ago

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Network Specialist
  • Labette Health
  • Parsons, KS FULL_TIME
  • Category: Information Technology Department: Information Technology Description: SUMMARY: The Network Systems Specialist works under the Senior Network Systems Administrator to provide support of both...
  • 1 Month Ago

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NETWORK SYSTEMS SUPPORT SPECIALIST
  • Clara Barton Hospital & Clinics
  • Hoisington, KS FULL_TIME
  • PURPOSE The Network Systems Support Specialist will be at the forefront of deploying and maintaining the critical network infrastructure for our rural critical access hospital. This role involves hand...
  • 23 Days Ago

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Network Engineer
  • SOC LLC
  • Melbourne, FL
  • Network Engineer - Melbourne, FL SOC is looking for a Network Engineer who will support a large nationwide customer. Thi...
  • 3/27/2024 12:00:00 AM

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Network Engineer
  • HRUCKUS
  • Martinsburg, WV
  • Veteran Owned Firm Seeking a Network Engineer for Onsite Assignment in Martinsburg, WV My name is Stephen Hrutka and I a...
  • 3/25/2024 12:00:00 AM

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Network Engineer/ Sr. Network Engineer/ Cloud Network Engineer/ Network Architect
  • SoftStandard Solutions
  • Employment Type: W2-Contract (Under SoftStandard Solutions Payroll) Rate: Post Screening, it will be decided. Location: ...
  • 3/25/2024 12:00:00 AM

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Provider Network Specialist-Hearing
  • NationsBenefits, LLC
  • Fort Lauderdale, FL
  • At NationsBenefits, we are committed to helping health plan members achieve a better quality of life through supplementa...
  • 3/25/2024 12:00:00 AM

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Network Engineer
  • Pikemann LLC
  • Marysville, WA
  • Benefits/Perks: Competitive Compensation Flexible Scheduling Career Growth Opportunities Job Summary: We are seeking a N...
  • 3/25/2024 12:00:00 AM

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Network Engineer
  • MDS (Micro-Data Systems)
  • O'Neal's, CA
  • Network Engineer The Network Engineer will have a mastery of the fundamental connectivity and inner workings of the netw...
  • 3/24/2024 12:00:00 AM

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Network Engineer
  • Booz Allen Hamilton
  • Miami, FL
  • A well-designed and secure network is critical to moving data and enabling DoD to achieve its mission, but how can an or...
  • 3/24/2024 12:00:00 AM

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Network Engineer
  • Detroit Housing Commission
  • Detroit, MI
  • SUMMARY The responsibilities of this position are to maintain and oversee the functionality of the network, software, an...
  • 3/24/2024 12:00:00 AM

Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,007 to $83,756

Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019