Provider Network Specialist jobs in Kentucky

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 Development Manager
  • eBlu Solutions LLC
  • LOUISVILLE, KY FULL_TIME
  • Description

    POSITION DISCRIPTION:   

    As a Provider Network Development Manager, this role is responsible for expanding our network of provider practices and infusion management groups by selling our eBlu platform. The Provider Network Development Manager will generate leads, qualify prospects, and nurture customer relationships through effective communication and sales strategies. This role will work closely with the Sales/Business Development team to identify and target provider practices.


    RESPONSIBILITIES:  

    • Provider Network Development Manager will consist of calling on prospects and building relationships with provider practices to sell our eBlu platform and services
    • Serve as a resource for all providers in a variety of markets, in particular, large and key strategic groups and health systems, and national arrangements
    • This position will manage prospects throughout the sales process as well as be prepared to present eBlu Solutions services over the phone and in person 
    • 50% Travel to provider practices as well as trade shows throughout the year to grow the eBlu Network 
    • Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails
    • Understand customer needs and requirements
    • Work closely with the appropriate Provider Relations Success Manager for further development and closure of qualified opportunities.
    • Close sales and achieve quarterly quotas
    •  Provider Network Development Manager will research accounts, identify key players, and generate interest
    • Maintain and expand your database of prospects within your assigned territory
    • Develop sales opportunities by researching and identifying potential accounts, soliciting new accounts, building rapport, providing technical information and explanations, and preparing quotations
    • Team with Channel Partners to build pipelines and close deals
    • Perform effective online demos to prospects / Perform product demos
    • Engaging in phone sales 
    • Conducting market research 
    • Providing client upsell and support 

    Requirements

    Required Experience:   

    • Proven inside sales experience
    • Self-starter requiring low level of supervision
    • Strong phone presence and experience dialing dozens of calls per day
    • Proficient with corporate productivity and web presentation tools
    • Experience working with Hubspot or similar CRM
    • Research Skills
    • Bachelors required, but may consider a combo of education and work experience
    • General knowledge of reimbursement and patient assistance programs and database elements and functionality; operational policies and processes
    • Sharp, flexible, with exceptional time management skills 
    • Proficient in Internet research 
    • Experience working in an autonomous environment with a demonstrated ability to organize, take initiative, lead, and follow-up with minimal supervision
    • Ability to think, work independently, and make decisions, while adhering to company standards and guidelines
    • Must have great interpersonal skills, presentation skills, and excellent verbal and written communication
    • Experience in presenting to executives, healthcare administrators, providers, and external stakeholders
    • Ability to grasp and articulate complex ideas 
    • 4 years of professional experience in healthcare client management, healthcare consulting, Payer & Provider Relations, or a related field

    PREFERRED EXPERIENCE, SKILLS, AND ABILITIES: 

    • SaaS Sales experience 
    • Solution Selling experience 
    • Healthcare market experience
    • Knowledge of drug reimbursement issues
    • Knowledge of HCPCS, CPT, and ICD-10 
    • Computer skills 
    • Ability to resolve problems independently 
    • Adaptable to changing priorities as needed

    PHYSICAL AND TECHNICAL ENVIRONMENT: 

    • Ability to travel – must have a valid driver's license
    • Noise level in the work environment is moderate
    • Ability to maintain focus under high levels of pressure/multiple priorities. 


    EEO CODE – eBlu Solutions is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law. eBlu Solutions is an Equal Employment Opportunity and Affirmative Action Employer.  EO/Minorities/Females/Disabled/Veterans  


  • 18 Days Ago

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Provider Network Director - Remote in KY
  • UnitedHealthcare
  • Louisville, KY FULL_TIME
  • At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people fo...
  • 15 Days Ago

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Network Specialist
  • Western Kentucky University
  • Bowling Green, KY FULL_TIME
  • Location: Bowling Green, KY Category: Staff Posted On: Fri Dec 16 2022 Job Description: Purpose of Position As a member of the Network Services team, the Network Specialist position configures, implem...
  • 22 Days Ago

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IT Specialist (Network Services)
  • U.S. Army Cyber Command
  • Fort Knox, KY FULL_TIME
  • Duties Oversee operation and modification of the telephone and NIPR/SIPR/VoIP/VoSIP network architectures. Coordinates all ASI’S expected to be traffic-affecting outages. Provide input for Lifecycle M...
  • 17 Days Ago

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IT Network and Desktop Specialist
  • pbs worldwide bvba - the recruitment factory
  • Louisville, KY FULL_TIME
  • The IT Network and Desktop Specialist will work closely with team members, we rely on our IT systems to power the solutions that help consumers around the world. We’re seeking an experienced IT manage...
  • 19 Days Ago

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Network Services Specialist
  • Edosoft Factory
  • Sevilla, KY OTHER
  • Descripción de la empresaDesde Edosoft buscamos incorporar en la plantilla de uno de nuestros clientes un/a Network Services Specialist.Descripción del empleo¿Cuáles serán tus tareas?Gestión y operaci...
  • 1 Day Ago

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Network Engineer
  • General Dynamics Information Technology
  • GDIT has an exciting opportunity to support U.S. Army Europe and Africa in Wiesbaden Germany as a member of our Enterpri...
  • 4/25/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/24/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Camp Smith, HI
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/23/2024 12:00:00 AM

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Network Engineer / Network Technician
  • System One Holdings, LLC
  • Phoenix, AZ
  • Please send me your details (resume, work authorization status, current location, availability and compensation expectat...
  • 4/22/2024 12:00:00 AM

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Network Engineer
  • Govcio LLC
  • Raleigh, NC
  • Overview: GovCIO is currently hiring for a Senior Wi-FI Engineer in Raleigh, NC. This position requires a RCDD certifica...
  • 4/22/2024 12:00:00 AM

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Network Engineer
  • Maxar Technologies
  • Westminster, CO
  • Please review the job details below. Maxar Intelligence is a provider of secure, precise, geospatial intelligence. We de...
  • 4/21/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Albuquerque, NM
  • Description Leidos is seeking a mid-level Network Engineer to join our team. This is an excellent opportunity for someon...
  • 4/17/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Reston, VA
  • Description Join us at Leidos, where your most important work is ahead! You will enjoy great benefits such as paid time ...
  • 4/3/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$55,016 to $82,249

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