Sr. Provider Network Consultant

at Kelly Services in Chicago, Illinois, United States

Job Description

At Kelly®, we’re passionate about helping you find a job that works for you. How about this one?

We are seeking a diligent and experienced Senior Provider Data Maintenance Specialist for a Leading Healthcare Company at their Chicago, IL headquarters. . With us, it’s all about finding the job that’s just right.

Snapshot:

+ Pay rate – $21.00/HR

+ Onsite at Leading Health insurance Chicago Headquarters

+ Opportunities for professional growth and development.

+ A collaborative and supportive work environment.

About the Role: This position is crucial for analyzing, researching, and applying business rules to manage provider information, ensuring accurate data for claims processing, membership assignment, and directory purposes. The role also involves contracting, credentialing, and maintaining facility and professional provider data to support marketing and network contracting across all lines of business.

Key Responsibilities:

+ Analyze and process requests from providers regarding additions, deletions, and changes to their information.

+ Ensure accurate provider data is used for claims processing, membership assignment, and directory purposes.

+ Contract, credential, and maintain facility/professional provider data.

+ Support the implementation of special projects and manage project workflow.

+ Assist in tracking various phases of projects.

+ Familiarize and train team members on business rules in network contracting and credentialing.

+ Identify gaps in processes and suggest process improvement strategies.

Required Job Qualifications:

• Bachelor degree 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:

• 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

What happens next?

Once you apply, you’ll proceed to the next steps if your skills and experience look like a good fit. But don’t worry-even if this position doesn’t work out, you’re still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.

Helping you discover what’s next in your career is what we’re all about, so let’s get to work.

Apply to be a Sr Provider Data Maintenance Specialist today!

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\#P1

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (https://www.mykelly.com/help-support-working-with-kelly-us/#Benefits) for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Get a complete career fit with Kelly ® .

You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.

About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center.
Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.