• Senior Specialist , Provider

    Molina Healthcare (GA)
    **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... care experience, including 2+ years in Provider Claims and/or Provider Network Administration . + 3+ years' experience in Medical Terminology, CPT,… more
    Molina Healthcare (09/17/25)
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  • Specialist , Provider Network

    Molina Healthcare (Haverhill, MA)
    **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical ... Degree **Preferred Experience** + 3+ years Provider Claims and/or Provider Network Administration experience + Experience in Medical Terminology, CPT,… more
    Molina Healthcare (10/03/25)
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  • Provider Network Specialist

    Sedgwick (Salem, OR)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
    Sedgwick (10/10/25)
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  • Medical Records Administration

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    Summary This position serves as the Medical Record Administrator Specialist (MRAS) in the Health Information Management Systems (HIMS) Department at the at the VAMC ... or the provision of services related to medical record administration /health information services. The 2-page Resume requirement does not...is a component of the VA Desert Pacific Healthcare Network (VISN 22). This position is located at 16111… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Associate Specialist , Provider

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical ... years managed care experience * 1+ years in Provider Claims and/or Provider Network Administration To all current Molina employees: If you are interested… more
    Molina Healthcare (10/03/25)
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  • Senior Provider Network Management…

    Corewell Health (Grand Rapids, MI)
    Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... equivalent education and experience + 5 years of relevant experience of either provider network management experience, health care insurance or other health care… more
    Corewell Health (09/10/25)
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  • Communication Specialist IV…

    City of Long Beach (Long Beach, CA)
    …any: + Genetec camera systems. + Lenel's access control systems. + General network administration , including LAN's, WAN's and networking hardware. + Corning ... COMMUNICATION SPECIALIST IV (Cameras)/COMMUNICATION SPECIALIST V ( Network ) Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4926681) Apply… more
    City of Long Beach (10/08/25)
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  • Network Management Specialist

    Magellan Health Services (Albuquerque, NM)
    …and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities. + Assesses ... The Network Contract Specialist will be responsible...and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network more
    Magellan Health Services (09/12/25)
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  • Provider Data Management Specialist

    Centene Corporation (Frankfort, KY)
    …assigned department **Education/Experience:** High school diploma or equivalent. 2+ years of provider data or network administration experience, preferably ... monitor network compliance with State requirements. The Provider Data Management Specialist I position is...and ad hoc basis and ensure state compliance + Provide appropriate reports and statistical data to other department… more
    Centene Corporation (10/04/25)
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  • Provider Contracting Specialist

    CareFirst (Baltimore, MD)
    …role will lead, guide, strategize and manage negotiations for provider -specific institutional, ancillary, and professional contracts. Key responsibilities include ... care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal… more
    CareFirst (09/18/25)
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