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Provider Network Administrative Specialist

Position Code: 9007

Department:  Provider Maintenance
Location: Nashville, Tennessee
Immediate Supervisor:  Roman Dondalski
Status: Non-Exempt
Posted: April 27 2018

Essential Functions of Job:

• Provide general administrative assistance to manager and department, as directed by manager • Coordinate the triaging, tracking, and closing of all Provider Network requests, both internally and externally • Conduct periodic checks and updates on contract and document organization within shared departmental drives • Assist with various Provider Network Load tasks as directed, including but not limited to: • Evaluate network design for new business groups and plan changes • Coordinate and document network design with Account Management and Benefit Programmer • Manage benefit change forms and completion for Provider Network Load team • Perform initial research for reported potential network load issues • Assist Provider Network Load team with various plan setup functions • Manage Monthly Stop Loss Shutdown • Update policy and procedure documents for department tasks, as needed • Ability to report to the office

Qualifications:

• High school diploma or equivalent • Advanced organizational and prioritization skills • Excellent written and oral communication skills, including giving presentations • In-depth knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast-paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Meticulous attention to detail • Logical, analytical approach to understanding of medical, dental and vision benefits • 1+ years health care industry experience preferred • 1-2 years Administrative Assistant experience desired

 

The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.

 

 

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