Provider Network Specialist jobs in South Dakota

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 Relations Network Analyst
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Create Your Career With Us!

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Cherapa Place Building

    Location: Sioux Falls, SD

    Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $21.50 - $34.50

    Job Summary

    The Provider Relations Network Analyst is responsible for administering the installation of assigned provider contracts. Performs set-up, database loading, and preparation of administrative documents and materials. Responsible for maintenance of the provider database, assigning contracted providers to the correct reimbursement schedules. Facilitates communications and understanding of the Health Plan's Networks. Act as internal liaison to resolve inquiries or issues. Coordinates management operational issues upon implementation. Uses databases that are specific to the EPIC database. Provides reports and data analysis as well as directory and troubleshooting.

    Qualifications

    Bachelor’s degree in business or related discipline is required with three or more years of related experience preferred.

    Experience in database management preferred. Three plus years of related experience is preferred.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0178885

    Job Function: General Administration

    Featured: No

  • 25 Days Ago

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Network Specialist
  • Marco Technologies LLC
  • Rapid, SD FULL_TIME
  • Marco is a high-performing technology services company with a track record of creating rewarding careers. Whether you are early in your career ready for an exciting opportunity, or an experienced prof...
  • 1 Month Ago

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Data Network Specialist
  • Vantage Point Solutions, Inc.
  • Mitchell, SD FULL_TIME
  • Vantage Point Solutions, a growing and dynamic telecommunications consulting and engineering firm, is seeking a qualified individual to join our team of professionals. We have an immediate opening for...
  • 11 Days Ago

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Senior Provider Relations Specialist
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 14 Days Ago

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Network Engineer
  • empirical foods, inc.
  • Dakota, SD FULL_TIME
  • Overview At empirical foods we solve big problems with new thinking. At every step we design it, build it, continually optimize it, and the empirical IT team is no different. We are seeking an experie...
  • 20 Days Ago

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Network Administrator
  • Prairie Lakes Healthcare System
  • Watertown, SD FULL_TIME
  • Network Administrator Job Summary Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an indepe...
  • 1 Day Ago

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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...
  • 3/29/2024 12:00:00 AM

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Provider Network Specialist-Hearing
  • NationsBenefits
  • Fort Lauderdale, FL
  • At NationsBenefits, we are committed to helping health plan members achieve a better quality of life through supplementa...
  • 3/29/2024 12:00:00 AM

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Sr. Specialist Network Engineer
  • Nestle Operational Services Worldwide SA
  • Phoenix, AZ
  • Nestl Information Technology is the digital arm of the world's largest nutrition, health, and wellness company. With 150...
  • 3/29/2024 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...
  • 3/29/2024 12:00:00 AM

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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...
  • 3/29/2024 12:00:00 AM

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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
  • 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

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$51,831 to $77,511

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