Sr Specialist Provider Network Admin

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Sun, Jul 07, 2024
This job expires in: 14 days

Job Summary

A company is looking for a Sr Specialist, Provider Network Admin for a remote position.

Key Responsibilities:
  • Generate and prepare provider-related data and reports to support Network Management and Operations
  • Provide accurate and timely distribution of required reports for continuous quality improvement and compliance
  • Develop and maintain documentation and guidelines for assigned areas of responsibility
Required Qualifications:
  • Bachelor's Degree or equivalent combination of education and experience
  • 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration
  • 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc
  • Intermediate skill level (or higher) in Access and Excel
  • Preferred: Bachelor's Degree, 5+ years managed care experience, QNXT, SQL experience, Crystal Reports for data extraction

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