Provider Network Specialist jobs in Kansas
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)
Recently Added Provider Network Specialist jobs
Provider Network Manager Sr
- Elevance Health
-
Topeka, KS
FULL_TIME
-
Location: Topeka KS, Kansas City KS
Hours: M – F Standard Working Hours
Travel: Hybrid (1-2 days onsite per week) In state travel to clients as needed
Position Overview
Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers. Complex providers may include, but are not limited to large institutional providers, large medical groups and ancillary providers, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized.
How You Will Make An Impact- Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development
- Works independently and requires high level of judgment and discretion
- May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management
- May collaborate with sales team in making presentations to employer groups
- Serves as a communication link between professional providers and the company
- Ensure that network composition includes an appropriate distribution of provider specialties
- Conducts more complex negotiations and drafts documents
- Prepare financial projections and conduct analysis
- Requires a BA/BS degree and a minimum of 5 years’ experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
- Experience in fee schedule development using actuarial models strongly preferred
- Travels to worksite and other locations as necessary
- 7 Days Ago
Provider Network Manager Sr
- Elevance Health
-
Overland Park, KS
FULL_TIME
- Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
- 1 Day Ago
Provider Network Management Director
- Elevance Health
-
Overland Park, KS
FULL_TIME
- Location: Topeka KS, Kansas City KSHours: M – F Standard Working HoursTravel: Hybrid (1-2 days onsite per week) In state travel to clients as neededPosition OverviewDevelops the provider network throu...
- 1 Day Ago
Provider Network Management Director
- The Elevance Health Companies, Inc.
-
TOPEKA, KS
FULL_TIME
- Anticipated End Date: 2024-06-21 Position Title: Provider Network Management Director Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days ...
- 23 Days Ago
Provider Network Manager Sr
- The Elevance Health Companies, Inc.
-
TOPEKA, KS
FULL_TIME
- Anticipated End Date: 2024-06-21 Position Title: Provider Network Manager Sr Job Description: Location: Topeka KS, Kansas City KS Hours: M – F Standard Working Hours Travel: Hybrid (1-2 days onsite pe...
- 23 Days Ago
Network Specialist
- TEKsystems
-
Topeka, KS
CONTRACTOR
- Description: This Network Specialist position works in the Network and Telecommunication Services department. This position is part of the group that is responsible for the daily operation, monitoring...
- 19 Days Ago
Provider Network Specialist jobs at Popular Companies
Network Engineer
- QinetiQ
-
Reston, VA
- Company Overview We are a world-class team of professionals who deliver next generation technology and products in robot...
- 6/11/2024 12:00:00 AM
Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered)
- Sharp Decisions
-
Graham, NC
- Title : Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered) Contract duration : 1...
- 6/10/2024 12:00:00 AM
Network Engineer
- Kinettix
-
Kahului, HI
- Job Description: Independent Contractor Contract to Hire Job Title: Network Technician Responsibilities: Work a minimum ...
- 6/9/2024 12:00:00 AM
Sr. Specialist Network Engineer
- IT
-
Phoenix, AZ
- Nestlé Information Technology is the digital arm of the world’s largest nutrition, health, and wellness company. With 15...
- 6/8/2024 12:00:00 AM
Network Engineer
- Apex Systems
-
Sumter, SC
- Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
- 6/7/2024 12:00:00 AM
Network Engineer
- Leidos
-
Norfolk, VA
- Description Leidos is a FORTUNE 500 company bringing a mix of innovative technology and sector expertise to customers in...
- 6/7/2024 12:00:00 AM
Network Engineer
- Leidos
-
Arlington, VA
- Description At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are de...
- 6/6/2024 12:00:00 AM
Network Engineer
- Leidos
-
North Charleston, SC
- Description Leidos is actively hiring for an experienced Network Engineer to join our team in North Charleston, SC. This...
- 5/31/2024 12:00:00 AM
About Kansas
Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$55,912 to $83,594
Most Popular Cities in Kansas for Provider Network Specialist Jobs
What does a Provider Network Specialist do?
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