Senior Specialist, Provider Network Administration

14211 Buffalo, New York Molina Healthcare

Posted 2 days ago

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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**
+ 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: $77,969 - $106,214 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Network Security Engineer

14266 Buffalo, New York Merchants Group

Posted 4 days ago

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Job Description

Description

Network Security Engineer

Hybrid Work Schedule

Buffalo, NY

Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an experienced Network Security Engineer for our Information Technology team to join our Corporate Headquarters located in Buffalo, New York.

The Network Security Engineer will become part of a dedicated Information Technology team focusing on the overall security and operation of the network to include reviewing and recommending cost effective, efficient and secure transfer of voice and data communications to and from the infrastructure.

Merchants Insurance Group, rated A- (Excellent) with a stable outlook by the A.M. Best Company, is proud to be one of Buffalo Business First’s Best Places to Work in Western New York (2023-2025), a Fast Track company (2019-2024), and a Top Private Company (2019-2025). Merchants has been granted Ward’s 50 designation as a top-performing property-casualty insurance company for four consecutive years. In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America’s Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list.

Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 8 full days per month in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues.

Essential Duties and Responsibilities include, but are not limited to:

  • Responsible for Level 2 help desk service by troubleshooting network and telecom problems with quick and appropriate resolution, identifying root cause and coordinating with vendors for outside support if necessary.

  • Provides analysis and monitoring of network infrastructure.

  • Responsible for installing and managing networking and voice equipment including but not limited to VoIP systems, Routers, Firewalls, Switches, and any other security devices necessary to guarantee the security of our environments.

  • Responsible for performing active network monitoring, security scans, performance tests, capacity planning, historical trends and baseline statistics.

  • Maintains security updates.

Qualifications & Skills:

  • Qualified candidates will have a 4 year degree or equivalent work related experience.

  • 5 years progressive experience in telecommunications field maintaining medium to large infrastructure, switches, routers, VoIP.

  • Ability to plan and prioritize tasks and coordinate installations.

  • Network knowledge of Cisco routers, Cisco ASA, Cisco Firepower, Cisco switches, Cisco CUCM, RADIUS, network security or equivalents.

  • Strong organizational and time management skills.

  • Excellent verbal and written communication skills.

Merchants Insurance Group Pay information:

Merchants Insurance Group offers a competitive pay scale. The actual compensation will be determined based upon experience and other factors permitted by law. The initial pay range for this position is $64,000 - $84,000.

Merchants Insurance Group Benefits:

  • Welcoming and positive work environment.

  • Flexible work arrangements, including flex scheduling and summer hours.

  • Hybrid work schedule. The Hybrid work schedule will require 8 full days per month in the office, with the option to work the remaining days per month at home or in the office.

  • Generous paid time off package.

  • Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.

  • Outstanding company bonus program.

  • Tuition Reimbursement.

And many more exciting company benefits! EOE

Qualifications

Experience

Preferred

  • 5 years: 5 years progressive experience in telecommunications field maintaining medium to large infrastructure, switches, routers, VoIP.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor.

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Network Security Engineer

14266 Buffalo, New York Merchants Mutual Insurance

Posted today

Job Viewed

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Job Description

Network Security Engineer

Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast and is looking for an experienced Network Security Engineer for our Information Technology team to join our Corporate Headquarters located in Buffalo, New York. The Network Security Engineer will become part of a dedicated Information Technology team focusing on the overall security and operation of the network to include reviewing and recommending cost effective, efficient and secure transfer of voice and data communications to and from the infrastructure.

Merchants Insurance Group, rated A- (Excellent) with a positive outlook by the A.M. Best Company, is proud to be one of Buffalo Business First's Best Places to Work in Western New York (2023, 2024), a Fast Track company (2019-2024), and a Top Private Company (2019-2024). Merchants has been granted Ward's 50 designation as a top-performing property-casualty insurance company for four consecutive years. In October 2024, Newsweek and Statista included Merchants Insurance Group on their first-ever America's Most Reliable Companies list, which highlights organizations that other companies can feel confident doing business with in 2025. Of 1,500 B2B companies evaluated, Merchants was one of only 300 companies to make the list.

Merchants offers its colleagues a Hybrid work schedule. The Hybrid work schedule requires 8 full days per month in the office, with the option to work the remaining days at home or in the office. This exciting Hybrid Work benefit offers colleagues a flexible work schedule with the ability to remain connected with their Merchants team and colleagues.

Essential Duties and Responsibilities include, but are not limited to:

  • Responsible for Level 2 help desk service by troubleshooting network and telecom problems with quick and appropriate resolution, identifying root cause and coordinating with vendors for outside support if necessary.
  • Provides analysis and monitoring of network infrastructure.
  • Responsible for installing and managing networking and voice equipment including but not limited to VoIP systems, Routers, Firewalls, Switches, and any other security devices necessary to guarantee the security of our environments.
  • Responsible for performing active network monitoring, security scans, performance tests, capacity planning, historical trends and baseline statistics.
  • Maintains security updates.

Qualifications & Skills:

  • Qualified candidates will have a 4 year degree or equivalent work related experience.
  • 5 years progressive experience in telecommunications field maintaining medium to large infrastructure, switches, routers, VoIP.
  • Ability to plan and prioritize tasks and coordinate installations.
  • Network knowledge of Cisco routers, Cisco ASA, Cisco Firepower, Cisco switches, Cisco CUCM, RADIUS, network security or equivalents.
  • Strong organizational and time management skills.
  • Excellent verbal and written communication skills.

Merchants Insurance Group offers a competitive pay scale. The actual compensation will be determined based upon experience and other factors permitted by law. The initial pay range for this position is $64,000 - $84,000.

Merchants Insurance Group Benefits:

  • Welcoming and positive work environment.
  • Flexible work arrangements, including flex scheduling and summer hours.
  • Hybrid work schedule. The Hybrid work schedule will require 8 full days per month in the office, with the option to work the remaining days per month at home or in the office.
  • Generous paid time off package.
  • Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars.
  • Outstanding company bonus program.
  • Tuition Reimbursement.

And many more exciting company benefits! EOE

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