7 Administration jobs in Macon
Manager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
Job Description
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
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Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
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Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
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Produces reports related to provider network information.
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Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
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Identifies issues, resolves problems and implements best practices.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
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5-7 years managed care experience, including min. 2 years of supervisory experience
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Min. 2 years health plan Provider Network experience
Required License, Certification, Association
N/A
Preferred Education
Bachelor's Degree
Preferred Experience
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7+ years managed care experience
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QNXT; SQL experience
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Crystal Reports for data extraction
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Access and Excel - intermediate plus skill level
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)
Posted 7 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Specialist, Provider Network Administration
Posted 7 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Specialist, Provider Network Administration (EST business hours)
Posted 7 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Administrative Support Worker - Mercer University
Posted 3 days ago
Job Viewed
Job Description
The Administrative Support Worker is responsible for assisting management with administrative tasks including, but not limited to, ordering, data entry, filing, etc. The Administrative Support Worker will be required to work well with customers, visitors, and employees in a professional and cheerful manner. Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs
**Job Responsibilities**
Responsible for performing administrative functions including distributing mail, ordering, and stocking supplies, answering phones, and greeting visitors
Assists unit management with clerical tasks in relation to accounting, payroll, receiving, and/or human resources including filing, data entry, record review and maintenance, etc.
Greets customers, clients, and employees; answers inquiries or directs calls where necessary
Maintain office memos and informative postings
Operate technology, systems, and software such as voicemail systems, copy/scanners, personal computers, and MS Office
At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice.
**Qualifications**
Prior administrative experience preferred
The ideal candidate will have a solid understanding of Microsoft applications, including but not limited to: Outlook, Word, PowerPoint, and Excel
Demonstrates interpersonal and communication skills, both verbal and written
Demonstrates strong interpersonal skills, accuracy, and attention to detail
Requires frequent performance of repetitive motions with hands and/or arms
**Education**
**About Aramark**
**Our Mission**
Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet.
At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law.
**About Aramark**
The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at or connect with us on Facebook , Instagram and Twitter .
Data Scientist/Engineer/Analyst - Entry Level
Posted 2 days ago
Job Viewed
Job Description
Since 2010 Synergisticit has helped Jobseekers get employed in the tech Job market by providing candidates the requisite skills, experience and technical competence to outperform at interviews and at clients. Here at SynergisticIT We just don't focus on getting you a tech Job we make careers.
In this Job market also, our candidates are able to achieve multiple job offers and $100k + salaries.
please check the below links to see success outcomes, salaries of our candidates .
We regularly interact with the Top Tech companies to give our candidates a competitive advantage-Please visit the below videos exhibiting at Oracle Cloud world /Oracle Java one (Las vegas) -2023/2022 and at Gartner Data Analytics Summit (Florida)-2023
All Positions are open for all visas and US citizens
We at Synergisticit understand the problem of the mismatch between employer's requirements and Employee skills and that's why since 2010 we have helped 1000's of candidates get jobs at technology clients like apple, google, Paypal, western union, Client, visa, walmart lab s etc to name a few.
Currently, We are looking for entry-level software programmers, Java Full stack developers, Python/Java developers, Data analysts/ Data Scientists, Machine Learning engineers for full time positions with clients.
Who Should Apply Recent Computer science/Engineering /Mathematics/Statistics or Science Graduates or People looking to switch careers or who have had gaps in employment and looking to make their careers in the Tech Industry.
We assist in filing for STEM extension and also for H1b and Green card filing to Candidates
We want Data Science/Machine learning/Data Analyst and Java Full stack candidates
For data Science/Machine learning Positions
REQUIRED SKILLS
Bachelors degree or Masters degree in Computer Science, Computer Engineering, Electrical Engineering, Information Systems, IT
Project work on the technologies needed
Highly motivated, self-learner, and technically inquisitive
Experience in programming language Java and understanding of the software development life cycle
Knowledge of Statistics, Gen AI, LLM, Python, Computer Vision, data visualization tools
Excellent written and verbal communication skills
Preferred skills: NLP, Text mining, Tableau, PowerBI, Databricks, Tensorflow
REQUIRED SKILLS For Java /Full stack/Software Positions
Bachelors degree or Masters degree in Computer Science, Computer Engineering, Electrical Engineering, Information Systems, IT
Highly motivated, self-learner, and technically inquisitive
Experience in programming language Java and understanding of the software development life cycle
Project work on the skills
Knowledge of Core Java , javascript , C++ or software programming
Spring boot, Microservices, Docker, Jenkins, Github, Kubernates and REST API's experience
Excellent written and verbal communication skills
If you get emails from our Job Placement team and are not interested please email them or ask them to take you off their distribution list and make you unavailable as they share the same database with the client servicing team who only connect with candidates who are matching client requirements.
No phone calls please. Shortlisted candidates would be reached out. No third party or agency candidates or c2c candidates
Entry Level Data Analyst with Power Bi
Posted 2 days ago
Job Viewed
Job Description
Since 2010 we have helped Jobseekers differentiate themselves by providing the clients with candidates who have the requisite skills and experience to outperform at interviews and clients. Here at SynergisticIT We just don't focus on getting you a Job we make careers.
All Positions are open for all visas and US citizens
We are matchmakers we provide clients with candidates who can perform from day 1 of starting work. In this economy no client wants or has the resources to take an entry level person and spend resources on upgrading their skills and on top of that pay the jobseeker. That's the specific reason there are so many techies both experience and freshers who are unemployed.
Clients have now the option to hire remote workers from anywhere so for a Jobseeker its important to introspect and see how they can become better and have the skills and technologies to meet client requirements.
We at Synergisticit understand the problem of the mismatch between employer's requirements and Employee skills and that's why since 2010 we have helped thousands of candidates get jobs at technology clients like apple, google, Paypal, western union, Client, visa, walmart lab s etc to name a few.
Who Should Apply Recent Computer science/Engineering /Mathematics/Statistics or Science Graduates looking to make their careers in IT Industry
We welcome candidates with all visas and citizens to apply.
If you get emails from our skill enhancement team please ask them to take you off their distribution list and make you unavailable as they share the same database with the client servicing team.
please check the below links to see success outcomes of our candidates
Synergisticit Pics /Salaries of Successful Candidates
Synergisticit at Oracle Cloudworld 2023
Synergisticit at Gartner Data & Analytics summit
Why do Tech Companies not Hire recent Computer Science Graduates | SynergisticIT
Technical Skills or Experience? | Which one is important to get a Job? | SynergisticIT
If you have relevant skills and industry experience, please apply
For preparing for interviews please visit
REQUIRED SKILLS For Java /Software Programmers
- Bachelors degree or Masters degree in Computer Science, Computer Engineering, Electrical Engineering, Information Systems, IT
- Highly motivated, self-learner, and technically inquisitive
- Experience in programming language Java and understanding of the software development life cycle
- Project work on the skills
- Knowledge of Core Java , javascript , C++ or software programming
- Spring boot, Microservices, Docker, Jenkins and REST API's experience
- Excellent written and verbal communication skills
REQUIRED SKILLS
- Bachelors degree or Masters degree in Computer Science, Computer Engineering, Electrical Engineering, Information Systems, IT
- Project work on the technologies needed
- Highly motivated, self-learner, and technically inquisitive
- Experience in programming language Java and understanding of the software development life cycle
- Knowledge of Statistics, SAS, Python, Computer Vision, data visualization tools
- Excellent written and verbal communication skills
Please understand skills and relevant experience on real world projects are required by clients for selection even if its Junior or entry level position the additional skills and Project work with hands on experience building projects at client site are the only way a candidate can be picked by clients.
No third party candidates or c2c candidates
please only apply to the posting
If you get emails from our skill enhancement team please ask them to take you off their distribution list and make you unavailable as they share the same database with the client servicing team.
No phone calls please. Shortlisted candidates would be reached out.
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