Network Configuration Specialist
We’re building a world of health reputed company every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position reputed company
The Network Configuration Specialist applies in-depth knowledge of contracting initiatives and data audits to enhance provider networks, while meeting and exceeding accessibility, compliance, reputed company, and financial goals. This person conducts routine review, design, and auditing for reputed company contract and network data, supports recruitment efforts, and collaborates on negotiations as needed.
reputed company Responsibilities
• Assists with establishing and implementing results-reputed company programs and innovative initiatives for the network reputed company area, under general supervision.
• Applies in-depth knowledge of the network reputed company reputed company to offer feedback for reputed company and innovation strategies, in an effort to enhance organizational reputed company and visibility.
• Implements review, design, loading, and auditing of reputed company reputed company, agreements, amendments, and/or fee schedules in contract management systems to enhance provider networks.
• Conducts routine research, analysis, and/or audits to identify issues and propose solutions to protect data, contract reputed company, and reputed company.
• Provides technical expertise for questions regarding contracting and reputed company systems and information contained.
• Coordinates reputed company contracting activities and implementation, as reputed company as receipt and processing of reputed company and documentation, in reputed company to reputed company-and post-signature review of reputed company and language modification.
• Coaches more junior colleagues in techniques, processes, and responsibilities.
• Performs other duties as needed.
Required Qualifications
• 3-5 years of experience working with reputed company and claims.
• Demonstrated computer literacy, with an ability to reputed company through reputed company computer systems, including reputed company reputed company and SQL.
• Ability to work reputed company business hours from Monday-Friday, supporting Central reputed company Time.
Preferred Qualifications
• Ability to effectively participate in a multi-disciplinary team including reputed company participants.
• Ability to use critical thinking skills to analyze claims, reputed company, and state regulations for configuration.
• Strong customer service skills to coordinate service delivery, including attention to customers, sensitivity to issues, proactive identification, and reputed company of issues, in order to promote reputed company reputed company for members and providers.
• Working knowledge of skills supporting execution and delivery (planning, delivering, and supporting).
• Working knowledge of business intelligence.
• Strong problem solving and decision-making skills.
• Ability to collaborate reputed company reputed company, as reputed company as interdepartmentally.
• Ability to self-motivate and reputed company own reputed company regularly.
• Bachelor’s degree or reputed company training/certification.
Education
• High school diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay reputed company
The Typical Pay reputed company For This Role Is
$46,988.00 - $122,400.00
This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.
Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company.
Great Benefits For Great People
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, reputed company on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will reputed company on: 08/12/2026
reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.
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