Provider Network Specialist jobs in North Carolina

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 Specialist
  • Lowe's
  • UNKNOWN, NC FULL_TIME
  • Lowe’s is able to offer remote employment of this position in the following states: AL, AR, AZ, CA(salaried roles only), CT, CO, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, MA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY.

    Job Summary

    The PROvider Network Specialist is primarily responsible for completing specific activities in support of maintaining the health and accuracy of Lowe’s PROvider network. The PROvider Network Specialist is responsible to ensure that Lowe's has a third-party PROvider pool (Installers, General Contractors, Repair PROviders) able to meet the needs of the business in regard to Lowe’s PROvider strategy, as well as ensure that all third-party PROviders comply with Lowe's application and contractual compliance guidelines. To be successful, the PROvider Network Specialist must have customer-first mindset, high attention to detail and accuracy and be comfortable collaborating with multiple teams. In addition, the individual in this role has the desire to use various systems in a fast- paced environment to complete work and as such must be able to learn and utilize new systems and tools as needed.

    Key Responsibilities

    • Reviews and validates the accuracy of the third-party PROvider information based on the Risk Management & Service Support guidelines
    • Manages the set-up process for all PROviders through various Lowe's based systems
    • Processes and verifies all PROvider insurance, licensing, cancellations, renewals and terminations, including PROvider open-for-payment requests
    • Confirms that compliant background checks are on file for PROviders while ensuring compliance standards are met by both the PROvider and Lowe's
    • Identifies deficiencies within the information provided through partnering with PROviders via phone or email to ensure compliance and collect various state required documents
    • Inputs new vendor information into the Lowe’s Vendor System and works with Vendor Maintenance on the issuance of vendor numbers
    • Compiles necessary documents which may include service PROvider agreements, applications licenses and insurance documents for archival purposes
    • Works cross-functionally to effectively gather information and complete tasks while reviewing information for completeness and accuracy
    • Serves as subject matter expert to Lowe’s Services and Specialty associates, field associates, and PROviders for application process and insurance related questions
    • Create and/or update team training and resource materials, as required
    • Serve as a resource to complete monthly reports and special projects, as needed
    • Provides SMART customer service at all times through the daily execution of Lowe's customer service policies, procedures and programs
    • Organizes work processes to ensure the most efficient workflow while collaborating with others (i.e., PROviders, field teams, peers).
    • Draws from program experience to offer ways to improve the PROvider experience
    • In addition to the above responsibilities, this individual is held accountable for other duties as assigned

    Required Qualifications

    • High School or GED and 3-5 Years experience in defined process role preferably in a team environment

    Preferred Qualifications

    • Bachelor's Degree
    • Strong interpersonal skills
    • Strong organizational skills

    About Lowe’s

    Lowe’s Companies, Inc. (NYSE: LOW) is a FORTUNE® 50 home improvement company serving approximately 16 million customer transactions a week in the United States. With total fiscal year 2023 sales of more than $86 billion, Lowe’s operates over 1,700 home improvement stores and employs approximately 300,000 associates. Based in Mooresville, N.C., Lowe’s supports the communities it serves through programs focused on creating safe, affordable housing and helping to develop the next generation of skilled trade experts. For more information, visit Lowes.com.

    Pay Range for CA, CO, HI, NJ, NY, WA: $20.28 - $33.81 per hour

    Starting rate of pay may vary based on factors including, but not limited to, position offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit our benefits page.

    Lowe’s is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law.

    Pay Range for CA, CO, HI, NJ, NY, WA: $20.28 - $33.81 per hour Starting rate of pay may vary based on factors including, but not limited to, position offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/benefits.
  • 26 Days Ago

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Provider Network Specialist
  • CCHN
  • Remote, NC FULL_TIME
  • Provider Network Specialist Location: Raleigh-Durham, Wilmington or Charlotte, NC / Homebased position Position Purpose: Reporting to the Director, Provider Network, the Provider Network Specialist is...
  • 6 Days Ago

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Community Network Provider
  • Unique Caring Foundation
  • Shelby, NC CONTRACTOR
  • *********THESE POSITION ARE LOCATED IN SHELBY*********SUMMARY:Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an in...
  • 11 Days Ago

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Community Network Provider
  • Unique Caring
  • Charlotte, NC FULL_TIME
  • SUMMARY: Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not ...
  • 5 Days Ago

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Community Network Provider
  • Unique Caring Foundation
  • Charlotte, NC FULL_TIME
  • SUMMARY: Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not ...
  • 23 Days Ago

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Community Network Provider
  • Unique Caring
  • Shelby, NC CONTRACTOR
  • *********THESE POSITION ARE LOCATED IN SHELBY*********SUMMARY:Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an in...
  • 1 Month 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...
  • 4/19/2024 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...
  • 4/18/2024 12:00:00 AM

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Network Engineer & Network Administrator
  • Robert Half
  • Torrance, CA
  • Two Network Roles: Network Engineer / Network Admin Location: South Bay (On-site with 40% travel) Target Salary: $100,00...
  • 4/16/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Undisclosed, MD
  • Description Join a long-term prime program with new positions and strong leadership. The Cyber & Analytics Solutions tea...
  • 4/5/2024 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

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Network Engineer
  • Leidos
  • Annapolis Junction, MD
  • Description Leidos is looking for a Mid-Senior Level Network Engineer to join a high performing agile team using the Sca...
  • 3/13/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Fort Meade, MD
  • Description Are you ready to make an impact and join a creative, forward-thinking team? We’re looking for innovators and...
  • 3/7/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Columbia, MD
  • Description Provides assistance in all aspects of network management from network design through implementation, mainten...
  • 2/6/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,127 to $83,910

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