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Provider Network Coordinator
Ohm Systems, Inc
Raleigh, NC | Contractor
$90k-113k (estimate)
3 Weeks Ago
Provider Network Coordinator
Ohm Systems, Inc Raleigh, NC
$90k-113k (estimate)
Contractor 3 Weeks Ago
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Ohm Systems, Inc is Hiring a Provider Network Coordinator Near Raleigh, NC

DutiesAs part of the Corporate Provider Network Operations team, the Coordinator, Corporate Provider Network Operations builds and prepares the provider profiles for enterprise systems in support of business activities and essentials for accuracy, maintenance, and retrieval of provider data and contract requirements.
Major Accountabilities
  • Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information
  • Accurate entry and proper maintenance of provider data
  • Knowledge and application of market implementation data rules and processes
  • Meet the business project timelines and milestones
  • Knowledge of and ability to manage, modify, and update Contract Manager database, operating system (such as FACETS), and other enterprise systems for new and existing markets.
  • Work daily workflow queue in any enterprise system (such as, EXP ACCESS ) used for provider information-gathering, updates, and maintenance
  • Work and maintain inventory in the queue based on prioritization, aging, and campaign
  • Contribute to the effective operations of the CPNO division
Skills
  • Minimum 1 – 2 years experience in member, provider and/or finance operations in a healthcare or Managed Care Organization
  • 1-2 years experience in customer service
  • 1-2 years of Medicaid experience preferred
  • 1-2 years experience in business operations preferred
  • Access Database Experience
  • High-Level Excel Function Knowledge
EducationAssociate’s Degree or equivalent combination of education and work experience in a Health Care Field preferred.
Required Skills
  • EXCEL
  • FINANCE
  • DATABASE
  • MICROSOFT ACCESS
  • BUSINESS OPERATIONS
Additional Skills
  • WORKFLOW
  • MANAGED CARE
  • MAINTENANCE
  • MEDICAID
  • OPERATIONS
  • CONTRACTS
  • RETAIL SALES
  • QUEUE MANAGEMENT
  • NETWORK OPERATIONS
  • CUSTOMER SERVICE ORIENTED
  • INVENTORY
About Ohm Systems, IncOhm Systems, Inc. specializes in IT and Healthcare staffing services, dedicated to linking highly skilled professionals with our public and private clients across the United States. Our track record showcases our commitment to delivering outstanding staffing and consultancy solutions to our clients. We prioritize diversity and inclusivity and take pride in being an employer that promotes equal opportunities and affirmative action. Our goal is to foster an inclusive work environment that embraces individuals from all backgrounds, irrespective of their gender, race, or orientation.

Job Summary

JOB TYPE

Contractor

SALARY

$90k-113k (estimate)

POST DATE

05/22/2024

EXPIRATION DATE

05/29/2024

WEBSITE

ohmworld.com

HEADQUARTERS

Cincinnati, OH

SIZE

<25

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