Provider Engagement Network Specialist

Job not on LinkedIn

🔥 14 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $23 - $39 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Ensure providers are set up accurately in the provider information system for state reporting, claims payment, and directories • Support external provider representatives in resolving provider data issues • Research and respond to provider-related issues • Submit provider data entries for demographic information changes • Initiate and process provider add, change, and termination forms • Create and maintain spreadsheets for provider directories across multiple products • Track, update, and audit provider data • Identify additions, deletions, and updates to key provider groups and model contracts • Research claim-payment processing inaccuracies and route them to the appropriate site operations team for adjustment • Assist providers with website registration • Facilitate provider education via webinar • Collaborate with other departments on cross-functional tasks and projects • Facilitate new provider orientations and trainings • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Candidates must live in Florida • Associate's degree and claims processing, billing and/or coding experience preferred • Three years of experience in a managed care environment, medical provider office, customer service within a healthcare organization, and medical claims • Knowledge of health care, managed care, Medicare or Medicaid • Ability to support South Florida: Miami, Broward, Palm Beach • Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Competitive pay