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Network Specialist

VirtualVocations
Fullerton, California, United States
Full-time

A company is looking for a Network Specialist to analyze provider demographic information and support network operations.

Key ResponsibilitiesAudit provider setup and claims payments, identifying root causes and recommending process improvementsAnalyze network grievances and prepare monthly reportingAssist with contracting and evaluate participation requests against network needsRequired Qualifications3+ years of direct provider interaction experience3+ years of healthcare experience, preferably with Medicare AdvantageExperience in claims research and provider setupProficiency in Google or MS Suite of productsKnowledge of root cause analysis and process improvement

17 hours ago
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