Job Title: Provider Network Consultant
Location: Alb NM or Chicago IL or Oklahoma OK | Remote but training will be onsite
Duration: November 2025 to February 2027 (possible extension)
Pay: $21.00/hr on W2
Positions available: 7
This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
* HS Diploma/GED(education verification required) plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
* Written and verbal communication skills including interpersonal skills.
* Skills to develop training materials and act as an advisor to staff
* Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications:
* Bachelor Degree
* Subject Matter Expert for the Professional Provider Credentialing Process
* 2 years of experience with current government sponsored health insurance networks
* Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
...Age Kitchen is a scratch-made restaurant, sourdough bakery, and coffee... ...Maryland. We transform familiar foods into their healthiest versions... ...We are looking for a Kitchen Manager to lead our talented back-of-house... ...unique opportunity to join a fast-growing, purpose-driven...
...re looking for a hands-on SEO expert and strategic leader to manage and grow the search presence of several domains. You will lead... ...page, and local SEO. Act as the primary point of contact for outsourced SEO vendors and freelancers. Manage, audit, and assess their performance...
Company Overview: Tellihealth is transforming how chronic care is delivered by combining powerful technology with compassionate, intelligent care. Our roots lie in the merger of two industry leaders, Accuhealth and Signallamp Health, bringing together best-in-class Remote...
...informational materials; initiating collection actions; and ensuring compliance with state and federal statutes, regulations, Child Advocate Office policy, and audit requirements. The Child Advocate Attorney is responsible for: Applying federal and state mandates...
...About this Position: Job Title: W2 Only - Remote Role - Natural/Adabas Administrator Minimum Qualifications: Minimum of eight years managing Software AG Adabas and Natural. Handson experience administering Adabas databases and Natural Security (Software...