Remote Jobs
Specialist, Provider Network Administration- QNXT
What's your preference?
Job Description
- Req#: 300001358776097
Employer Industry: Managed Care Healthcare
Why consider this job opportunity:
- Competitive compensation package with comprehensive benefits
- Opportunity for career advancement and growth within the organization
- Engage in meaningful work that supports provider network management
- Collaborative team environment that encourages professional development
- Chance to participate in special projects and initiatives
What to Expect (Job Responsibilities):
- Oversee the receipt of and coordinate data from the provider network for entry into the provider management system
- Review and analyze data to ensure accuracy and compliance with business requirements
- Audit provider records for quality and financial accuracy, providing documented feedback as necessary
- Assist with configuration issues in collaboration with Corporate team members
- Train current staff and new hires as needed
What is Required (Qualifications):
- Associate degree in Business or equivalent combination of education and experience
- Minimum of 3 years of experience in provider configuration, setup, and affiliation in QNXT for managed care
- Experience in Claims, Provider Services, Provider Network Operations, or similar areas
- Advanced level experience in MS Excel, including Pivot tables and VLOOKUPs for reporting and data analysis
- Claims processing background, including coordination of benefits and eligibility criteria
How to Stand Out (Preferred Qualifications):
- Bachelor's degree in a related field
- 3+ years of experience in Provider Claims and/or Provider Network Administration
- Familiarity with medical terminology, CPT, ICD-9 codes, etc.
- Intermediate skill level in Access and Excel or higher
#ManagedCare #HealthcareAdministration #ProviderNetwork #CareerGrowth #ExcelSkills
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.