Provider Network Specialist jobs in Michigan

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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Contract & Provider Network Specialist - Finance
  • Community Mental Health Authority
  • Lansing, MI FULL_TIME
  • CMHA-CEI is a Michigan Certified Bronze Level Veteran Friendly Employer and we encourage active military service member, veterans, and their family member to apply.

    Responsibilities: Under the direction of the Contracts and Provider Network Manager, the Contract and Provider Network Specialist is responsible for communication with contract vendors, provider network, and the contracts department for the purposes of requesting information, providing information, or obtaining clarification for the establishment, execution, compliance and termination of contracts. Responsible for carrying out all activities of the department in such a manner that fulfills CMHA-CEI’s mission, policies and procedures.

    Requirements: Possession of a Bachelor’s degree in Business Administration, Public Administration, Human Services, or a related field required. Six years of experience working in contracts administration or provider network experience will be considered in lieu of education requirement on a case-by-case basis. A minimum of one year or progressive experience in healthcare, managed care, human services, or a closely related field (preferably working within provider network management) required. Must be able to accurately and effectively communicate in verbal and written form. Must have ability to maintain records, prepare reports, and generate correspondence related to the work. Must pass a State of Michigan police clearance check.

    Conditional Employment Requirements: Employment offers for this position will be contingent upon the results of a background verification and credentialing procedure consisting of: Michigan State Police clearance check, educational background check, and verification of an acceptable work history. Must pass a pre-employment 5-panel drug screen.

    To Apply: Applicants must submit an employment application. Resumes cannot be substituted for the employment application. CMHA-CEI’s promotion of diversity is fueled by the desire to seek equality of opportunity for all persons. CMHA-CEI is an Equal Opportunity Employer and a Drug Free Workplace.

    Salary/Hours: Starting salary $21.74 - $25.29 per hour, 40 hours per week.

    Location: Finance Department, Lansing, MI.

  • 30 Days Ago

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Pharmacy Technician
  • Advanced Care Provider Network
  • Hudson, MI FULL_TIME
  • We are currently looking for a full time Pharmacy Technician! Come be part of an innovative healthcare team that is taking care of people all over the Hudson area!
  • 14 Days Ago

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Pharmacy Technician
  • Advanced Care Provider Network
  • Brooklyn, MI FULL_TIME
  • We are currently hiring Pharmacy Technicians! Come be part of an innovative healthcare team that is taking care of people all over Brooklyn! No experience? No problem! We are providing paid on the job...
  • 10 Days Ago

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24-10466 Contract & Provider Network Specialist - Finance
  • CMHA Candidate Experience Site
  • Lansing, MI FULL_TIME
  • CMHA-CEI is a Michigan Certified Bronze Level Veteran Friendly Employer and we encourage active military service member, veterans, and their family member to apply. Responsibilities: Under the directi...
  • 1 Month Ago

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Psychologist, Therapist, or Counselor - Italy
  • Maven Clinic 1099 Provider Network
  • Milan, MI FULL_TIME
  • Maven is looking for a mission-driven, empathetic Psychologist, Therapist, or Counselor in Italy to support our members through virtual care services. As a Maven provider, you will have the opportunit...
  • 19 Days Ago

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Remote Job Opportunity | Provider Network Specialist 1 | 6-months (Possible Extension)
  • Pyramid Consulting, Inc
  • Various, MI CONTRACTOR
  • Title: Provider Network Specialist 1 Location: Remote - MI Duration: 6 months (Possible Extension) Shift: 8 AM – 5 PM EST (Mon to Fri) Job Description: Perform duties to act as a liaison between provi...
  • 20 Days Ago

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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
  • Virginia Beach, VA
  • Network Engineer Transform technology into opportunity as a Network Engineer with GDIT. A career in enterprise IT means ...
  • 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
  • Leidos
  • Denver, CO
  • Description Leidos is seeking a Network Engineer to work in support of the NOAA National Centers for Environmental Predi...
  • 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
  • ULINE
  • Pleasant Prairie, WI
  • Network Engineer Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Develop your ideal IT career, craf...
  • 4/20/2024 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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$57,705 to $86,270

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