85 provider network jobs at 58 companies in Piscataway, NJ
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Provider Network Specialist
New York, New York, United States
$70k-$75k/yrHybridFull Time
SVCMC: Catholic nonprofit healthcare organization operating a TRICARE Prime military health plan for military families.
5+ YOEHigh school diploma required; associate degree preferred. Requires 5–8 years in health insurance, provider networks, or contracting, driver's license, personal vehicle, and ability to lift 20 pounds.
HF Management Services, LLC: Management employing staff for Healthfirst, a not-for-profit New York health insurer serving Medicaid, Medicare, and commercial members.
8+ YOEBachelor's degree and 8 years of managed care contracting and network negotiation experience required, with expertise in reimbursement models, provider economics, regulatory frameworks, and complex negotiations.
National Vision Administrators, LLC: A nationwide prescription benefit administrator and vision services provider delivering benefit programs and clinical integration.
High school diploma, strong written and verbal communication, proficiency with Microsoft Office (Excel, Word, SharePoint), ability to learn NVA/AS400, strong organization and multitasking skills.
NVA AS400, NVA system, Microsoft SharePoint, Microsoft Office, Microsoft Excel, Microsoft Word, PDF
Judi Health: Privately held health technology providing pharmacy and benefits administration to employers, unions, health plans, and governments.
5+ YOEBachelor's degree in healthcare or business field and 5+ years in provider relations, healthcare networks, account management, managed care, or healthcare operations; requires strong communication, analytical, and problem-solving skills.
EmblemHealth: New York-based non-profit health insurance and medical services organization.
3+ YOEBachelor's in healthcare/public administration/management; 3+ years provider relations experience; knowledge of provider/payor roles and healthcare financing; strong customer service, communication, time management; proficiency in Microsoft Office (Excel, Word).
Microsoft Excel, Microsoft Word, Microsoft Office, IVR, EDI
Provider Engagement Network Specialist - Hybrid in New York, New York
New York City, New York, United States
$56k-$99k/yrHybridFull Time
EmblemHealth: New York-based non-profit health insurance and medical services organization.
3+ YOEBachelor's degree in healthcare, public administration, or management; 3–5+ years of provider relations experience; knowledge of healthcare financing, delivery systems, quality controls, legislation, and Microsoft applications.
Microsoft Excel, Microsoft Word, Microsoft Office Suite, PC
eMazzanti Technologies: Private managed IT provider offering cloud, network, and cybersecurity services to businesses.
1+ YOE1-4 years as a network engineer/admin. Provide onsite network support, design and maintain networks, configure firewalls, troubleshoot Windows Server/Exchange/Windows, understand TCP/IP, DHCP, DNS, LDAP, VOIP, VPNs; ConnectWise and Microsoft certifications preferred; valid driver's license required.
Microsoft Windows Server, Microsoft Exchange, Microsoft Windows, ConnectWise
New York City or Indiana or Connecticut or Rhode Island
$60k-$107k/yrRemoteFull Time
Optum HealthNYSE: UNH: Patient-centered healthcare organization providing primary, specialty, surgical, behavioral and home care to communities nationwide.
2+ YOERequires 2+ years of provider relations or network management, 1+ year with Medicare/Medicaid regulations, Microsoft Office proficiency, driver's license, reliable transportation, and 25% travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Compass Data Base
Tacoma or Boca Raton or Madison or Houston or New York or Baton Rouge
OnsiteFull Time
W.F. Baird & Associates: Coastal and marine engineering consultancy serving public and private clients with shoreline, port, and environmental projects.
Join the U.S. talent network to be considered for future coastal engineering and related opportunities; must be legally authorized to work in the U.S.; the employer does not provide visa sponsorship.
New York City or Staten Island or Yonkers or Long Island City or Astoria or Kings Park or Central Islip or Eastchester or Poughkeepsie or New Rochelle or Newburgh or White Plains or Spring Valley or Carmel or Kingston or Hempstead or Brooklyn or New Jersey or Middletown or Oyster Bay or Bronx
4+ YOERequires 4+ years in healthcare operations, provider relations, network management, managed care, claims, or provider services; provider-facing experience; analytical, communication, and issue-resolution skills; Microsoft Office proficiency.
Oscar HealthNYSE: OSCR: Technology-driven health insurance and managed care provider.
12+ YOE5+ MgmtRequires 12+ years in healthcare provider contracting or network development, 7+ years negotiating complex provider contracts, and 5+ years of healthcare leadership or management experience.
United States or San Francisco or New York City or California or Connecticut or Illinois or Maryland or Massachusetts or New Hampshire or New York or Rhode Island or Texas or Virginia or Washington or Wisconsin or Alabama or Arizona or Arkansas or Florida or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Mississippi or Missouri or Montana or Nebraska or New Mexico or North Dakota or Ohio or Oklahoma or South Carolina or South Dakota or Tennessee or Utah or Vermont or West Virginia or Wyoming
$78k-$174k/yrRemoteFull Time
Hinge HealthNYSE: HNGE: Public digital MSK clinic using AI, wearable technology, and clinicians to treat joint and muscle pain.
5+ YOEBachelor's degree, 5+ years of experience, provider sales or network development background, healthcare expertise, quota attainment history, and strong territory management, project management, organizational, and communication skills.
Everest Global Services, Inc.NYSE: EG: U.S. corporate-services subsidiary supporting Everest Group’s global property, casualty, and specialty insurance and reinsurance operations.
The posting provides no specific education, experience, certification, language, or technical requirements.
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$110k-$150k/yrHybridFull Time
Horizon Blue Cross Blue Shield of New Jersey: Not-for-profit New Jersey health insurer providing medical, dental, vision, and prescription coverage to individuals, employers, and public programs.
5+ YOE3+ MgmtMinimum 5 years provider finance/network contracting experience, 3+ years supervisory experience, knowledge of FFS/DRG/APC/Medicaid/Medicare/value‑based models, strong analytical and negotiation skills, BS preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Provider Relations Coordinator-Frequent travel in Central NJ
Hamilton or New Jersey
$52k-$57k/yrFieldFull Time
Medlogix: Technology-driven medical claims management provider serving auto and workers’ compensation insurance carriers.
Recruit providers into a PPO network, travel within Central NJ, strong verbal/written communication, proficiency with Microsoft Word/Excel/Outlook, valid state driver\u00039s license; undergraduate healthcare degree preferred.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Amida Care: Nonprofit Medicaid health plan serving NYC members with complex conditions, including HIV/AIDS and behavioral disorders.
7+ YOEBachelor's degree; 7+ years experience in contract negotiation, network development and provider engagement; 7+ years in a health plan setting; 5–7 years NY Medicaid experience; advanced Microsoft Office (Word, Access, Excel).
FLIK Hospitality Group: Leading corporate hospitality provider dedicated to great food, great service, and great people.
Provides general front-desk and clerical support: answering and routing calls, greeting visitors, handling mail and packages, and performing office administrative tasks.
Anywhere Real Estate: Global provider of residential real estate services and franchising.
Provides operational and system support for broker onboarding and configurations, troubleshoots system issues, performs accurate data entry, and uses Microsoft Office; requires strong attention to detail and customer service skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
ProgynyNasdaq Global Select Market: PGNY: Public fertility and family-building benefits serving employers and their employees with women's health support.
7+ YOE2+ Mgmt5+ years in healthcare technology product management; strong knowledge of HL7, FHIR, EDI; lead cross-functional teams; agile delivery; excellent communication.