Provider Network Specialist jobs in Modesto, CA

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)

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Recruiting & Provider Credentialing Specialist
  • Tuolumne Me Wuk Indian Health Center Inc.
  • Sonora, CA OTHER
  • Job Details

    Job Location:    Administration - Sonora, CA
    Salary Range:    $25.00 - $36.00 Hourly

    Description

    POSITION SUMMARY:

    Under the general supervision of the Human Resources Manager, the Recruiting & Provider Credentialling Specialist is responsible for maintaining staffing levels for assigned departments, applicant screening, interviews and onboarding process.

    PRIMARY RESPONSIBILITIES: (Duties may include but not limited to the following):

    1. Answers routine inquiries regarding general Human Resources information for both internal and external applicants.
    2. Recruit for posted positions through the use of job boards, job fairs, and marketing efforts and staffing agencies to fill positions.
    3. Maintains requisitions within the applicant tracking system.
    4. Reviews applications within the applicant tracking system and makes available qualified applicants to respective Managers for review.
    5. Professionally communicates with applicants on the status of their application.
    6. Coordinates interviews with departments for both internal and external candidates.
    7. On-boards new hires and transfers by administering proper paperwork and obtaining employment references and coordinating drug and alcohol tests for pre0employment requirements.
    8. Collects and inspects proper documentation as required by the USCIS for employment verification through E-Verify system.
    9. Process all new-hire paperwork including set up of new employee files.
    10. Conduct orientation and training for new employees.
    11. Maintain all personnel files through the entire employee life cycle.
    12. Coordinate with Risk Management on employee’s driving status, proof of vehicle insurance.
    13. Coordinate termination paperwork and subsequent COBRA letters for employees.
    14. Maintain record of evaluation due dates and notify Department Managers of required evaluations.
    15. Maintain security and confidentiality of specified records and information.
    16. Be a point of contact for TMWIHC HR, Risk and Benefits.
    17. Collaborate with HR Department on employee appreciation events.
    18. Will assist the Provider Enrollment Specialist in credentialing tasks.
    19. Other related duties, as assigned.

    Qualifications


    QUALIFICATIONS:

    1. Must be at least 21 years old.
    2. Must possess a high school diploma, G.E.D. or equivalent.
    3. A minimum of one year’s experience in Human Resources or recruiting preferred.
    4. Must have strong computer skills. Prefer experience with Canva, HRIS (Paycom) and Excel.
    5. Possess excellent communication skills, verbal and written as well as organizational skills.
    6. Preference of background in the medical field.
    7. Must have the ability to communicate effectively orally and in writing; and the ability to follow oral and written instructions. Must possess sufficient written and verbal communication skills to be able to interact with medical professionals, vendors, and agencies in a professional manner, developing rapport and enhancing business relationships.
    8. Must have the ability to maintain confidentiality and handle sensitive matters with discretion and tact. Must have a general knowledge of and the ability to maintain HIPAA privacy requirements. Must sign a confidentiality statement.
    9. Must have a valid, current California Driver’s License; a personal automobile; and personal auto insurance with $100,000/$300,000 bodily injury and $100,000 property damage, or a combined $300,000 single limit. Must have a clean driving record. Must be insurable and eligible for coverage under TMWIHC policies.

    PHYSICAL REQUIREMENTS:

    This position requires walking, standing, and sitting for prolonged periods of time; climbing stairs, step-stools, etc.; stooping, kneeling, crouching, balancing, and reaching; pushing, pulling and lifting up to 30 pounds; raising objects overhead; manual dexterity for operation of computer and phones; hearing, talking, and good verbal and written communication skills; repetitive motions of the wrists, hands, and fingers; subject to outside environmental conditions of heat and cold; and walking on uneven ground.



    INDIAN PREFERANCE:

    Preference in filling vacancies will be given to qualified Native American or Alaskan Native Applicants, in accordance with the Indian preference Act (Title 25, U.S. Code Section 472 and 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment. In House postings include Tribal Voting Members.

    All positions require sensitivity to Indian traditions, customs, and socioeconomic needs, and ability at times to meet and deal effectively with numerous tribes and varied cultures, which requires tact, courtesy, discretion, resourcefulness, and good judgment in handling functions of a sensitive nature.

    *Employment is contingent on passing pre-employment TB test, background check and drug testing.

    Tuolumne Me-Wuk Indian Health Center is an Equal Opportunity Employer.

  • Just Posted

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OPERATIONS SUPPORT SPECIALIST
  • Farm Credit Network
  • Turlock, CA FULL_TIME
  • POSITION: Operations Support Specialist, part-time (30 hours/week) position located in the Turlock Branch, Turlock, CA. ABOUT YOSEMITE FARM CREDIT: As a farmer-owned co-op with over 100-year history s...
  • 1 Month Ago

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Provider Recruiter, Physician & Provider Recruitment
  • Adventist Health
  • Sonora, CA FULL_TIME
  • Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of awa...
  • 24 Days Ago

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looking for a videographer to do a quick gig on 13th and 14th
  • Bloom Network
  • Modesto, CA FULL_TIME,PART_TIME
  • we are looking for a photographer/videographer to go to phenos dispensary to take cool promo photos and videos for 13th and 14th must be experienced and have nice portfolio Job Types: Full-time, Part-...
  • 23 Days Ago

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Childcare Provider Driver
  • Kango
  • Modesto, CA PART_TIME,CONTRACTOR
  • Job description *Competitive pay is between $18 and $35 per ride Flexible schedule (pick the rides you want when you want in the driver app!) Fixed routes are available for constant weekly earnings (b...
  • Just Posted

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Network Technician - Must Apply on Edjoin.org
  • Turlock Unified School District
  • Turlock, CA FULL_TIME
  • Network Technician Range 17.5 Summary of Position Under direction of the Director of Technology and Data Systems or designee, assists with a growing Local and Wide Area Network using network protocols...
  • 17 Days Ago

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0 Provider Network Specialist jobs found in Modesto, CA area

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HVAC Service Technician
  • Derek Sawyer's Heating, Furnace & Air Conditioning Repair
  • Modesto, CA
  • Job Description Job Description Looking to TRADE up to a better opportunity? Derek Sawyer's Is looking to find the best ...
  • 4/23/2024 12:00:00 AM

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Telecommunications
  • LightPath Communications
  • Modesto, CA
  • Job Description Job Description If you hate being stuck inside every day, love to travel, and want the freedom to decide...
  • 4/23/2024 12:00:00 AM

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Travel Cath Lab Technologist - $2,890 per week
  • Hiring Now!
  • Modesto, CA
  • Travel Nurses, Inc. is seeking a travel Cath Lab Technologist for a travel job in Modesto, California. Job Description &...
  • 4/22/2024 12:00:00 AM

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Information Technology (IT) Software Engineer I, II, Senior
  • Turlock Irrigation District
  • Turlock, CA
  • Salary: $8,163.00 - $13,968.00 Monthly Location : Turlock, CA Job Type: Full Time Job Number: 1652 Department: INFORMATI...
  • 4/21/2024 12:00:00 AM

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Telecommunications Network Engineer
  • CompTech Computer Technologies
  • Tracy, CA
  • Job Description: CompTech is seeking a Telecommunications Network Engineer in support of our customer the Defense Logist...
  • 4/20/2024 12:00:00 AM

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Desktop & Network Support Technician
  • NetFusion Consulting, Inc.
  • Modesto, CA
  • Job Description Job Description Do you enjoy troubleshooting IT problems and helping others? Why be of hundreds when you...
  • 4/20/2024 12:00:00 AM

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Stockton MSP Seeks Engineer with 2 years IT Support Experience
  • Mid Valley IT
  • Merced, CA
  • Job Description Job Description This position is an engineer supporting clients and projects from our Stockton office. Y...
  • 4/19/2024 12:00:00 AM

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IT Technical Support Specialist
  • PLH Group Inc.
  • Ceres, CA
  • ** IT Technical Support Specialist** **Job Category****:** Information Technology **Requisition Number****:** ITTEC01412...
  • 4/19/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$62,207 to $93,000
Modesto, California area prices
were up 2.5% from a year ago

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