Provider Network Administration Specialist

Job Summary

A company is looking for a Senior Specialist, Provider Network Administration.

Key Responsibilities

• Validate and maintain provider information in enrollment and provider databases
• Collaborate with IT and business teams to improve workflows and project delivery
• Generate and prepare provider-related reports to support network management operations

Required Qualifications

• Bachelor's Degree or equivalent combination of education and experience
• 3-5 years of managed care experience, with 2+ years in Provider Claims or Network Administration
• 3+ years' experience with Medical Terminology, CPT, ICD-9 codes
• Intermediate skill level in Access and Excel
• Experience in User Acceptance Testing (UAT) is required