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Provider Network Administration Specialist

5/30/2025

Remote

Job Summary

A company is looking for a Senior Specialist, Provider Network Administration.

Key Responsibilities
  • Validate and maintain provider information on claims and provider databases
  • Collaborate with cross-functional teams to identify workflow inefficiencies and implement process improvements
  • Generate and prepare provider-related data and reports to support Network Management and Operations
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 Salesforce User Interface
  • Experience in User Acceptance Testing (UAT)
  • Intermediate skill level in Access and Excel

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