1,954 provider network jobs at 1,014 companies in United States
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Provider Network Specialist
Glendale, California, United States
$85k-$105k/yrOnsiteFull Time
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEBachelor's in healthcare administration or related field (or equivalent experience), 2+ years provider network management or healthcare contracting, proficiency with data analysis and network management software, strong communication and negotiation skills.
Astrana HealthNASDAQ: ASTH: Operates technology-powered platforms to coordinate and deliver medical care.
3+ YOEBachelor's degree or equivalent experience, 3+ years in provider network operations/managed care, experience with provider data and operational workflows, strong attention to detail and organizational skills.
Revere Medical: Operates primary care clinics and manages clinical provider networks.
Leadership managing primary care affiliate networks, VBC performance oversight, provider relations, data-driven improvement, strong communication and organizational skills; Bachelor\u0002s preferred or 5+ years relevant experience.
Health Payment Systems: Healthcare payment and provider network management platform.
10+ YOEBachelor's in Business Administration or Healthcare Administration; Master's preferred. 10+ years in provider network development; proven Wisconsin market relationships; experience improving unit costs and negotiating provider agreements.
North East Medical Services: Community health center providing comprehensive care to underserved populations.
BA/BS preferred (Assoc. considered with experience); ~4 years healthcare/provider network/claims experience preferred; knowledge of CMS/DHCS and Medicare/Medi‑Cal; strong written/spoken communication; Microsoft Word/Excel/PowerPoint/Outlook; CA driver's license; 60% local travel.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
North East Medical Services: Providing comprehensive medical care to the underserved Asian community.
BA/BS (or Associate with equivalent experience); preferred 4 years healthcare experience in provider network/claims/utilization management; knowledge of CMS/DHCS, Medicare/Medi‑Cal; strong written/verbal communication; Microsoft Office skills; California driver\u0019s license; fluent English (Chinese preferred).
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
Enlightened: Provides IT consulting, cybersecurity, and business process outsourcing services.
3+ YOEAssociate's degree required; 3+ years provider network or relations experience; 1+ year contract negotiation experience; strong negotiation, analytical, and communication skills; Microsoft Office proficiency.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint
Cascade Health Alliance: Coordinated care organization providing health services in Klamath County.
2+ YOE2+ years related experience and/or Associate's degree or equivalent; experience with provider onboarding, credentialing, data maintenance, provider relations, reporting, and strong communication skills.
Zero Health: Provides health benefits with no out-of-pocket costs for members.
3+ YOE3+ years sales or business development experience in healthcare, experience negotiating provider/payer contracts, CRM proficiency (HubSpot or Salesforce), knowledge of provider revenue cycle and self-funded plans, strong communication and analytical skills.
3 years provider relations experience preferred; experience with healthcare providers and managed care; strong verbal/written communication, data analysis basics, ability to work independently, and maintain confidentiality. Bachelor's in healthcare administration preferred.
Liberty Dental Plan: Administers dental benefit plans for government and commercial markets.
2+ YOEAssociate degree preferred, high school/GED required; 2+ years supporting provider networks or related healthcare/managed care roles; strong communication, relationship-building, and organizational skills; Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft Outlook
UPMC: Integrated health system providing clinical care and medical insurance.
3+ YOEBachelor's degree or equivalent; 3 years healthcare or business experience; provider services/claims experience preferred; strong communication and problem-solving skills.
Lowe'sNYSE: LOW: Operates a chain of retail home improvement and hardware stores.
3+ YOEHigh school diploma; 3 years in a defined process role; prefer Bachelor's degree; responsibilities include provider data management, compliance, and vendor setup.
Wellthy: Platform helping families manage logistics for complex caregiving needs.
2+ YOE2+ years in recruitment/vendor management/partnerships/sales/customer service, strong communication, attention to detail, data comfort, and ability to source and onboard care providers.
Provider Partners Health Plan: Medicare Advantage plans for long-term care residents.
1+ YOEAssociate degree preferred; 1+ years healthcare/provider contracting experience; proficiency with Microsoft Office (Excel, Word, Outlook) and databases; strong organization, communication, and attention to detail; valid driver's license and willingness to travel ~25%.
Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft Outlook, Salesforce, Asana
Versant Health: Manages vision care benefits and provider networks.
Formatting and delivering provider network data, producing network and disruption reports, performing data and statistical analysis, maintaining Zelis and competitor data, proficiency with Excel/Access and Business Objects, and HIPAA compliance.
Microsoft Excel, Microsoft Access, Business Objects, Quest Analytics, Zelis
Santa Clara Family Health Plan: Provides managed health insurance plans for Santa Clara County residents.
6+ YOE3+ MgmtOversee day-to-day provider network operations, develop training and communications, manage relationships with providers and contracted plans; bachelor’s and 6+ years in healthcare with leadership.
NationsBenefits: Provides supplemental health benefits and fintech payment solutions.
Experience recruiting medical offices and familiarity with credentialing; strong communication, organization, and ability to manage recruitment and onboarding for provider networks.