96 provider network jobs at 67 companies in Princeton, NJ

3w
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Senior Provider Network Contractor – Out-of-Network Provider Negotiations
New York City, New York, United States
$123k-$188k/yr OnsiteFull Time
Healthfirst
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
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.
3w
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Specialist, Provider Network Administration - Remote
New York, New York, United States
$18-$42/hr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
3+ YOE3+ years healthcare experience in claims, provider services, provider network operations or billing; claims processing knowledge; attention to detail; data entry and customer service skills; Microsoft Office proficiency.
Microsoft Office, Microsoft Excel, CPT, ICD-9, ICD-10
1mo
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Provider Network Specialist
Clifton, New Jersey, United States
$45k-$50k/yr OnsiteFull Time
Benecard Services
Benecard Services: Provides prescription and vision health benefit management services.
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
2w
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Strategic Provider Network Manager
Sewell or Naples
$80k/yr OnsiteFull Time
NEST
NEST: Provides facility maintenance and construction management for multi-site organizations.
7+ YOE3+ MgmtBachelor’s degree and 7+ years in facilities, vendor, supplier, contractor network, or field service operations, including 3+ years leading teams. Requires financial, analytical, negotiation, and Microsoft Office skills.
Microsoft Office, Microsoft Excel, Microsoft Word, CRM, ERP
1w
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Medical Network Provider Relations Manager
Charlotte or Denver or New York City
$106k-$159k/yr HybridFull Time
Judi Health
Judi Health: Provides unified healthcare benefits administration and claims processing software.
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.
Microsoft Office Suite, CRM
3mo
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Provider Engagement Network Specialist - Hybrid
New York, New York, United States
$56k-$99k/yr HybridFull Time
EmblemHealth
EmblemHealth: Provides comprehensive health insurance and wellness plans.
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
3mo
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Provider Engagement Network Specialist - Hybrid in New York, New York
New York, New York, United States
$56k-$99k/yr HybridFull Time
AdvantageCare Physicians
AdvantageCare Physicians: Provides multi-specialty medical care and population health services.
3+ YOE3-5+ years provider relations experience; strong communication; project management; Excel/MS Office proficiency; healthcare knowledge.
Microsoft Office, Excel, Word
2w
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Provider Partnership Associate
Philadelphia or Delaware
OnsiteFull Time
Independence Blue Cross
Independence Blue Cross: Provides health insurance plans and managed care services.
5+ YOEBachelor's degree or equivalent experience and 5+ years in a healthcare organization required. Provider networks, contracting, claims, managed care, billing, reimbursement, medical policy, and benefits knowledge preferred.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Outlook, Navinet, INSINQ, OCWA, OSCAR, 4UM, 310 Database, Provider Profiles, PGRS
21h
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Provider Engagement Representative - Remote
New York City or Indiana or Connecticut or Rhode Island
$60k-$107k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
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
1d
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Manager, Provider Relations (Metro, NY)
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
$66k-$159k/yr HybridFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
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.
Microsoft Excel, Microsoft PowerPoint
2mo
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Field Network Engineer
Hoboken, New Jersey, United States
OnsiteFull Time
eMazzanti Technologies
eMazzanti Technologies: Provider of managed IT, cybersecurity, and cloud consulting services.
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
3mo
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Baird's U.S. Talent Network
Tacoma or Boca Raton or Madison or Houston or New York or Baton Rouge
OnsiteFull Time
W.F. Baird & Associates
W.F. Baird & Associates: Engineering consulting for coastal, marine, and riverine environments.
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.
2w
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Senior Director, Network Contracting
New York City, New York, United States
$199k-$261k/yr HybridFull Time
Oscar Health
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
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.
2w
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Provider Partnership Associate in Philadelphia, Pennsylvania
Philadelphia, Pennsylvania, United States
OnsiteFull Time
Independence Health Group
Independence Health Group: Provides health insurance and healthcare administration services.
5+ YOEBachelor's degree or equivalent experience; 5+ years in healthcare, preferably provider networks, contracting, claims, or managed care. Requires billing, reimbursement, policy, analytical, communication, and organizational skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Outlook, Navinet, INSINQ, OCWA, OSCAR, 4UM, 310 Database, Provider Profiles, PGRS
2d
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Associate RVP, Provider Sales- West
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/yr RemoteFull Time
Hinge Health
Hinge HealthNYSE: HNGE: Digital provider of musculoskeletal care and physical therapy
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.
2mo
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Mgr, Network & Physician Contracting
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$110k-$150k/yr HybridFull Time
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
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
2mo
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Provider Relations Coordinator-Frequent travel in Central NJ
Hamilton or New Jersey
$52k-$57k/yr FieldFull Time
Medlogix
Medlogix: Medical claims management and clinical evaluation services for insurers.
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
1mo
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Senior Director of Network Operations
New York, New York, United States
$132k-$164k/yr HybridFull Time
Amida Care
Amida Care: Nonprofit health plan providing Medicaid coverage and coordinated care.
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).
Microsoft Word, Microsoft Access, Microsoft Excel
1mo
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Network Coordinator, Coding Audit & Education
Allentown, Pennsylvania, United States
OnsiteFull Time
St. Luke's University Health Network
St. Luke's University Health Network: Operates a network of hospitals and medical education facilities.
5+ YOEPerforms coding audits, validates coded medical records, analyzes trends, provides audit-driven education; requires 5 years coding experience and at least one AHIMA/AAPC coding credential.
encoder/grouper
3w
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Network Team Associate NYC (1558235)
New York City, New York, United States
$25-$27/hr OnsiteFull Time
Compass Group
Compass GroupLondon Stock Exchange: CPG: Provides contract food and support services globally.
Provides general front-desk and clerical support: answering and routing calls, greeting visitors, handling mail and packages, and performing office administrative tasks.