Sr Specialist Provider Network Admin

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