Provider Network Consultant
Job Description
Job Title: Provider Network Consultant
Location: must be in either Chicago IL, or Alb NM or Helena MT or Oklahoma OK office
Pay rate: $21.00/hr on W2
Duration: February 2025 - February 2027 (possible extension
Note: Business WILL NOT interview. Will make offers based on Resume and Excel test results. Position- Sr Prov Data Maintenance Specialist
Description:
This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing, and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
HS Diploma/GED(education verification required) plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
Written and verbal communication skills including interpersonal skills.
Skills to develop training materials and act as an advisor to staff
Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications:
Bachelor’s degree
Subject Matter Expert for the Professional Provider Credentialing Process
2 years of experience with current government sponsored health insurance networks
Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
Company Description
ISG is how forward-thinking businesses that focuses on IT recruiting and consulting. We have been around for over 25 years and one of top 25 largest minority owned companies in Chicago. Benefits are also available thru ISG for contract positions!
ISG is how forward-thinking businesses that focuses on IT recruiting and consulting. We have been around for over 25 years and one of top 25 largest minority owned companies in Chicago. Benefits are also available thru ISG for contract positions!