Provider Network Specialist jobs in Virginia

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)

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Provider specialist
  • ROCS, Inc
  • Arlington, VA FULL_TIME
  • Why You Want To Work Here :

    In this position we seek a highly personable and detailed individual to work with childcare providers across the country to help them navigate government programs.

    Responsibilities of the Provider Liaison Specialist :

    • Serve as principal liaison for providers in all areas of fee assistance program eligibility (ie. updating documents, verifying submitted information, answering all provider questions / concerns)
    • Assist providers in assessing qualifications according to the Department of Defense policies and provide exceptional customer service support in navigating fee assistance program policies and procedures
    • Enter and maintain customer data into the electronic database
    • Receive incoming calls, letters and E-mail from families and providers and provide exemplary customer service via active listening and professional communication
    • Maintain respectful working relationship with clients and adhere to high-ethical standards including maintaining strict confidentiality
    • Provide weekly report on pre-determined measurable job tasks and call volume
    • Participate in a team-oriented work environment
    • Assist with special projects and other functions as needed to accomplish mission and objectives
    • Perform other duties as assigned

    Qualifications of the Provider Liaison Specialist :

    • Completed bachelor's degree or relevant experience
    • Proven experience providing customer service to diverse populations. Conflict resolution experiences a plus
    • Experience in a social services, human services, or child development setting
    • Experience with case management and multi-tasking
    • Experience with call center environment
    • Proven multi-tasking capability, sense of urgency, organizational skills, and case management skills
    • Experience with the Microsoft Office suite of products and Internet-savvy
    • Exceptional oral and written communication skills
    • Fluency in Spanish is a plus

    Provider Liaison SpecialistArlington, VA (Remote)Full-time

    Last updated : 2024-05-04

  • 10 Days Ago

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Network Specialist
  • Integrated Computer Solutions. Inc. (ICS)
  • Washington, VA FULL_TIME
  • Description THE COMPANY Integrated Computer Solutions (ICS) is an IT service provider that supports the federal government, along with several state agencies and municipalities. Our employees are skil...
  • Just Posted

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Advanced Practice Provider
  • US Oncology Network-wide Career Opportunities
  • Blacksburg, VA FULL_TIME
  • OverviewUnder supervision or in collaboration with practice physicians, involved in the care of individuals, families and patient groups who are dealing with cancer or other related diagnosis. This ca...
  • 25 Days Ago

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Advanced Practice Provider
  • US Oncology Network-wide Career Opportunities
  • Roanoke, VA FULL_TIME
  • OverviewUnder supervision or in collaboration with practice physicians, involved in the care of individuals, families and patient groups who are dealing with cancer or other related diagnosis. This ca...
  • 1 Month Ago

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Advanced Practice Provider, Oncology/Hematology - Virginia Beach
  • The US Oncology Network
  • Princess Anne, VA FULL_TIME
  • OverviewVirginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting o...
  • Just Posted

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Behavioral Health Advanced Practice Provider (NP/PA)
  • Transformations Care Network
  • Aldie, VA FULL_TIME
  • Join us at Columbia Associates, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Behavioral Health Advanced Practice Providers (NP/PA) like you to make a ...
  • Just Posted

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Network Engineer
  • Apex Systems
  • Sumter, SC
  • Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
  • 6/2/2024 12:00:00 AM

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Engineering - Network Engineer Mid
  • Pyramid Consulting, Inc
  • Enon, OH
  • Immediate need for a talented Engineering - Network Engineer Mid. This is a 12+ Months Contract opportunity with long-te...
  • 6/1/2024 12:00:00 AM

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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...
  • 5/31/2024 12:00:00 AM

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Provider Network Specialist II
  • Centene Corporation
  • Tucson, AZ
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
  • 5/31/2024 12:00:00 AM

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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...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • Raytheon Technologies
  • Sterling, VA
  • Date Posted: 2024-02-06 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • R+L Carriers
  • Ypsilanti, MI
  • Job Description Essential Duties and Responsibilities: Maintains a high level of proficiency in network, wireless, and n...
  • 5/29/2024 12:00:00 AM

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Network Engineer
  • The University of Vermont Health Network
  • South Burlington, VT
  • This positions requires the applicant to work onsite in South Burlington, Vermont. This is not a remote opportunity. Sta...
  • 5/29/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$58,774 to $87,868

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