Provider Network Specialist jobs in Melbourne, FL
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)
Recently Added Provider Network Specialist jobs
Provider Network Relation Specialist
- Acuity-CHS, LLC
-
Cape Canaveral, FL
PART_TIME
- Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! SCOPE: This position is responsible for recruiting providers to Acuity's worldwide provider network and acting as their primary liaison with the company. Extensive phone work is required; actively cold calling and negotiating pricing with providers on a national level. Strong documentation, interpretation, and follow-up are essential activities of this position. Interacts daily with providers’ staff members and Acuity employees and managers internally. Reports to the Recruiting Manager, Provider Network Operations. All services shall be provided in accordance with established standards, principles and ethics of the profession, applicable professional specialty organizations, and the high-quality standard for which Acuity is recognized. LOCATION: This position is based in Cape Canaveral, FL. DUTIES AND RESPONSIBILITIES: Perform and/or provide direction and support for the following services: After thorough research, professionally interacts and recruits potential medical facilities and clinics in support of the medical examination line of business through the building and maintenance of relationships with providers and office staffs, with moderate need for direction. Understands and negotiates, extends, and renegotiates exam component pricing on agreements and/or addendums with appropriate provider representatives as appropriate within specified guidelines. Learns and uses basic knowledge of various software applications necessary to set up and maintain facility information as well as capable of running simple reports to support recruitment efforts. Collects and disseminates all Provider Service Agreement paperwork appropriately; identifies individuals for credentialing and communicates with the Credentialing Manager for further follow up. Resolves complex issues that might include running advanced reports and resolve difficult provider calls with professional ease. Understands assigned territory and is proactive in obtaining appropriate provider coverage. Assists in basic and complex training of Recruiter 1 & 2 team members. Has a thorough understanding of both Commercial & Government contract requirements and can communicate with the appropriate Program Managers to resolve issues. Participates with Assistant Manager and Manager to both identify and offer potential solutions to complex issues; able to prioritize, train, and delegate special projects as directed. Works as a member of a larger team to ensure the success of Acuity goals and assists in motivating team members to excel. Attends meetings upon request of Director, Manager, or Assistant Manager. Performs miscellaneous job-related duties as required. OTHER REQUIREMENTS: High School Diploma and 5-6 years of experience. May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements. Supports marketing/sales objectives and efforts as requested. Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within the area of responsibility. Encourages co-workers to work safely. Identifies “close calls” and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area. Assists in active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, NRCME (DOT) and other mandated regulations/standards. Demonstrated comfort with negotiation process required. Proficiency with computer and common office equipment, as well as with MS Office products required. Must have excellent oral and written communication skills, strong analytical and problem-solving skills, the ability to thrive and multi-task in a dynamic, fast-paced environment; be comfortable with cold calling, and the ability to adapt to a change when needed. PREFERRED EXPERIENCE: Bachelor’s Degree preferred. Prior experience with negotiating in provider agreements or subcontracts a plus. Special Consideration for Local Candidates PHYSICAL REQUIREMENTS: Work is normally performed in a typical interior/office work environment. Work involves sitting and standing for prolonged periods of time. May require bending, stooping and lifting up to 15 lbs. Good eye/hand coordination required. Constant use of sight, speech, hearing, frequent keying and use of computer and common office equipment required. Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status. For OFCCP compliance, the taxable entity associated with this job posting is: Acuity-CHS, LLC About Acuity International, LLC: Acuity International is a global company that provides Advanced Medical Services, Engineering and Technology Solutions and Global Mission Services for commercial and government customers. Formed by five industry-leading businesses – Comprehensive Health Services, Janus Global Operations, Project Time & Cost, Sallyport, and Michael Baker Global Services – Acuity provides solutions and services that support national defense, global diplomacy, homeland security, healthcare, and technology development. Formed in 2018, with headquarters outside of Washington, D.C., Acuity has global reach with 7,000 employees across five continents. Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career!
- 1 Day Ago
Mobile Phlebotomy Technician
- The National Phlebotomy Provider Network
-
Melbourne, FL
FULL_TIME
- Are you a great lab tech or phlebotomist looking to advance your career? Would you like to get out of the lab and work on your own? Do you like your job but hate the pay? WE HAVE THE PERFECT POSITION ...
- 2 Days Ago
Network Controls Specialist
- Technology Consulting Inc.
-
Melbourne, FL
FULL_TIME
- Job DetailsTCI has an immediate need for a Network Controls Specialist in Melbourne, FL. This is not a Corp2Corp opportunity. This is a long-term contract opportunity with the probability of extension...
- Just Posted
Network Operations Specialist
- Aleron
-
Melbourne, FL
FULL_TIME
- Description Are you a Network Operations Specialist who is looking to join one of the top companies within the Aerospace and Defense industry?Are you looking to further your career and grow?Do you hav...
- 8 Days Ago
Network Operations Center Specialist
- ComTec Information Systems
-
Melbourne, FL
FULL_TIME
- Job Details(After Conversion salary $60k - $70k per annum Benefits) Duration: 12 months (Temp to Perm)Requires State of FL enhanced background check approval before starting (no PTC required)Seeking a...
- 25 Days Ago
Network Operations Specialist
- COMTEC INFORMATION SYSTEMS
-
Melbourne, FL
FULL_TIME,CONTRACTOR
- Job Posting Title: Network Control - Cleared Contractor - L2 (IP Network Operations Specialist (NOS)) Location: Melbourne, FL L3Harris is looking for an IP Network Control Specialist who will support ...
- 1 Month Ago
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0 Provider Network Specialist jobs found in Melbourne, FL area
Network Engineer II
- Associates Systems LLC
-
Merritt Island, FL
- Network Engineer II Direct Hire All Qualified candidates will be contacted in 24 hours or less In this role you will per...
- 4/25/2024 12:00:00 AM
Network Engineer
- GLOBAL Recruitment Solutions LLC
-
Orlando, FL
- About the job Network Engineer The Network Engineer will be responsible for the daily support of service delivery within...
- 4/24/2024 12:00:00 AM
Network Engineer
- Associates Systems LLC
-
Merritt Island, FL
- ALL Qualified Resumes will be responded to in 24 hours or less. US Citizens are required. Responsibilities include: •Rev...
- 4/24/2024 12:00:00 AM
Network Engineer 6170
- TCI Technology Consulting Inc
-
Melbourne, FL
- TCI has an immediate need for an IP Network Engineer in Melbourne, FL. This is not a Corp2Corp opportunity. This is a lo...
- 4/23/2024 12:00:00 AM
Senior Network Engineer
- ELEVATED TECHNOLOGIES LLC
-
Titusville, FL
- Job Description Job Description Network Engineer III Position Summary: We are seeking a full-time, regular Senior Netwo...
- 4/23/2024 12:00:00 AM
Network Engineer
- Robert Half
-
Melbourne, FL
- ***No Visa Sponsorship*** ***No C2C*** We are seeking a highly motivated Network Engineer to join our team and play a ke...
- 4/22/2024 12:00:00 AM
Senior Network Engineer
- Elevated Technologies Llc
-
Titusville, FL
- Job Description Job Description Network Engineer IIIPosition Summary:We are seeking a full-time, regular Senior Network ...
- 4/22/2024 12:00:00 AM
Specialist, Network Planning Engineer (IP Network Engineer)
- Harris Geospatial Solutions
-
Melbourne, FL
- Job Title: Specialist, Network Planning Engineer (IP Network Engineer)Job Code: 10429Job Location: Melbourne, FLJob Desc...
- 4/22/2024 12:00:00 AM
About Melbourne, Florida
Melbourne /ˈmɛlbərn/ is a city in Brevard County, Florida, United States. As of the 2010 census, the population was 76,068. The municipality is the second-largest in the county by both size and population. Melbourne is a principal city of the Palm Bay – Melbourne – Titusville, Florida Metropolitan Statistical Area. In 1969 the city was expanded by merging with nearby Eau Gallie.
Melbourne is located approximately 60 miles (97 km) southeast of Orlando on the Space Coast, along Interstate 95. It is approximately midway between Jacksonville and Miami. According to the United States Census Bureau,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$53,379 to $79,802
Melbourne, Florida area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Provider Network Specialist do?
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