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Provider Network Configuration Specialist

ManpowerGroup

Doral, FL · HybridJobSeen 1mo agoSeen in employer's feed 3 days ago

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At a glance

Compensation
No compensation found
Location
Doral, FLHybrid
Work Authorization
Not specified

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Job overview

The Provider Network Configuration Specialist will join the Provider Relations Department to support provider network management, ensuring accurate data configuration, credentialing, and benefit limits. The role demands strong attention to detail, excellent communication, and a proactive approach within a dynamic healthcare environment.

Skills & qualifications

RequiredNice to have

Skills

Microsoft ExcelMS OfficeHealth Plan TerminologyData ManagementAnalyticalOrganizationalProblem-SolvingCommunication

Qualifications

Two Years Health Insurance Information and Data Management Experience

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k) Match

Full job description

Our client, a leading organization in the healthcare industry, is seeking a Provider Network Configuration Specialist to join their team. As a Provider Network Configuration Specialist, you will be part of the Provider Relations Department supporting the Provider Network Management team. The ideal candidate will demonstrate strong attention to detail, excellent communication skills, and a proactive approach, which will align successfully in the organization.

Job Title: Credentialization Specialist

Location: Doral, FL - Hybrid

What's the Job?

  • Work within and across department teams to maintain the configuration of providers, locations, groups, plans, and benefit limits in the managing system.

  • Ensure accurate and timely completion of production tickets to support client satisfaction and retention.

  • Support provider management activities including data maintenance, credentialing, directory management, and intake requests.

  • Research, resolve, document, and respond to inquiries and service requests from providers, practices, and business partners.

  • Configure and update benefits limits, groups, plans, providers, and locations in the system, ensuring data accuracy.

What's Needed?

  • At least two years of experience in health insurance information and data management systems.

  • Strong understanding of health plan terminology and processes.

  • Proficiency in Microsoft Excel and other MS Office tools.

  • Strong analytical, organizational, and problem-solving skills.

  • Excellent written and verbal communication skills, with the ability to work independently and collaboratively.

What's in it for me?

  • Opportunity to work in a dynamic and supportive healthcare environment.

  • Chance to develop and enhance your skills in health plan data management.

  • Engagement with a diverse and inclusive team committed to excellence.

  • Potential for career growth within the organization.

  • Supportive work environment with a focus on professional development.

Upon completion of waiting period consultants are eligible for:

  • Medical and Prescription Drug Plans

  • Dental Plan

  • Vision Plan

  • Health Savings Account

  • Health Flexible Spending Account

  • Dependent Care Flexible Spending Account

  • Supplemental Life Insurance

  • Short Term and Long Term Disability Insurance

  • Business Travel Insurance

  • 401(k), Plus Match

  • Weekly Pay

If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!

About ManpowerGroup, Parent Company of: Manpower, Experis and Talent Solutions.

Experis® is a global leader in technology services and part of the ManpowerGroup® (NYSE: MAN) family of brands. We connect skilled technology professionals with meaningful opportunities where they can grow their careers, expand their expertise and make a real impact. Guided by the belief that it takes Human Ingenuity to unlock the true potential of technology, Experis helps people gain experience with leading organizations, build sought-after skills and take the next step toward a brighter future. Backed by ManpowerGroup's 75+ years of workforce expertise and global reach across more than 70 countries and territories, Experis brings the scale, insight and opportunity to help people and businesses thrive. ManpowerGroup is consistently recognized for its commitment to inclusion, ethics and responsible business, including being named one of the World's Most Ethical Companies. Learn more at Experis.com.

ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.

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