Provider Network Specialist jobs in Charlotte, NC

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Provider Network Specialist jobs

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Community Network Provider
  • Unique Caring
  • Charlotte, NC FULL_TIME
  • SUMMARY: 
    Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not disabled.  This service is provided separate and apart from the participant’s private residence, other residential living arrangement, and /or the home of a service provider.  These services do not take place in licensed facilities and are intended to offer the participant the opportunity to develop meaningful community relationships with non-disabled individuals.  Services are designed to promote maximum participation in community life while developing natural supports within integrated settings.  Community Networking services will enable the participant to increase or maintain their capacity for independence and develop social roles valued by non-disabled members of the community.  
     
    Community Networking services consist of: 
    • Participation in adult education
    • Development of community-based time management skills
    • Community based classes for the development of hobbies, leisure/cultural interests
    • Volunteer work
    • Participation in community group or associations
    • Training and education in self-determination and self-advocacy 
    • Using public transportation
    • For children that need staffing supports to assist them to participate in day care/after school summer program
    • This service includes a combination of training, personal assistance and supports as needed by the participant during activities.  
    • Transportation to/from the participant’s residence and the training site is included.  
      
    Job Responsibilities:
    • Communicate relevant consumer information to Family Service’s Coordinator, care coordinator and or parents
    • Provide privacy and confidentiality of all consumer records
    • Assure consumers are free from abuse, mistreatment and or neglect and report any incidents of such to Family Service’s Coordinator, care coordinator and or parent
    • Treat each consumer with dignity and respect
    • Complete all documentation related to Individual Support Plans
    • Develop and demonstrate a thorough understanding of philosophy and purpose of caring for an MH/DD consumer
    • Develop familiarity with the treatment plan of each consumer served
    • Implement goals and recommendations for client served and follow appropriate documentation procedures
    • Provide a positive atmosphere which facilitates growth and learning
    • Make decisions based on training and policies when unsupervised
    • Perform duties and all other requested duties when requested by supervisor

    Staff Qualifications: 
    • Staff must meet the requirements for paraprofessionals in 10A NCAC 27G.0200
    • Staff must have a high school diploma or GED. 
    • Staff must meet client specific competencies as identified by the individual’s person-centered planning team and documented in the Individual Support Plans.
    • Staff must successfully complete First Aid, CPR and DMH/DD/SAS Core Competencies and required refresher training.
    • Paraprofessionals providing this service must be supervised by a Qualified Professional. Supervision must be provided according to supervision requirements specified in 10A NCAC 27G.0204 and according to licensure or certification requirements of the appropriate discipline.
    • Must have a criminal record check
    • A healthcare registry check as required in accordance with 10A NCAC 27G.0200
    • If providing transportation, have a North Carolina or other valid driver’s license, a safe driving record and an acceptable level of automobile liability insurance.
  • 5 Days Ago
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Community Network Provider
  • Unique Caring Foundation
  • Charlotte, NC FULL_TIME
  • SUMMARY: Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not ...
  • 23 Days Ago
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Provider Network Account Executive II
  • AmeriHealth Caritas Health Plan
  • Charlotte, NC FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities....
  • 1 Day Ago
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Certified Peer Support Specialist
  • The Sparc Network
  • Charlotte, NC FULL_TIME
  • We are looking for Certified Peer Support Specialists (CPSS) to provide Transition Management Services in the Charlotte/Meck area. Join a diverse, inclusive, and whole-person focused team! We are dedi...
  • 28 Days Ago
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Provider Services Specialist
  • N2S Healthcare
  • Charlotte, NC CONTRACTOR,FULL_TIME
  • Title: Provider Services SpecialistDuration: 13 weeksShift: Day shift M-F 8a-5PLocation: Charlotte, NCJob Summary:We are seeking a skilled and dedicated Service Technician to join our team. As a Servi...
  • 8 Days Ago
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Provider Service Specialist
  • BAHAMA Consulting Corporation
  • Charlotte, NC FULL_TIME
  • TITLE: Provider Service SpecialistLOCATION: Charlotte, NC (Onsite)STATUS: Full-Time – FMLA Contract, 13- WeeksSCHEDULE: M-F, 8a-5PPAY RANGE: $19 - $25 per hour DOQThis is the pay range that BAHAMA Con...
  • 1 Month Ago
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0 Provider Network Specialist jobs found in Charlotte, NC area

About Charlotte, North Carolina

Charlotte (/ˈʃɑːrlət/) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont, it is the county seat of Mecklenburg County. In 2017, the U.S. Census Bureau estimated the population was 859,035, making it the 17th-most populous city in the United States. The Charlotte metropolitan area's population ranks 22nd in the U.S., and had a 2016 population of 2,474,314. The Charlotte metropolitan area is part of a sixteen-county market region or combined statistical area with a 2016 census-estimated population of 2,632,249. Between 2004 and 2014, Charlotte was ranked as...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,711 to $84,784
Charlotte, North Carolina area prices
were up 1.5% from a year ago
View detail

What does a Provider Network Specialist do?

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020