Associate Specialist, Provider Network Admin - Remote

Overview

The Provider Network Administration role is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases, ensuring adherence to business and system requirements.

In Short

• Remote position requiring residence in California.
• Responsible for updating provider-related information in computer systems.
• Review and analyze data to ensure accuracy.
• Maintain quality standards for provider demographic data.
• Ensure accurate entries into health plan systems.
• Work on assigned projects and special requests.
• Minimum 1 year of managed care experience required.
• Experience in claims or provider services preferred.
• High school diploma or GED required.
• Associate's degree preferred.

Requirements

• HS Diploma or GED required.
• Minimum 1 year managed care experience.
• Experience in claims, provider services, or similar fields.
• Preferred: 2+ years managed care experience.
• Preferred: 1+ years in provider claims or network administration.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE).