Manager, Provider Network Administration (Remote)

33603 Tampa, Florida Molina Healthcare

Posted 11 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**
- 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.
View Now

Manager, Provider Network Administration (Remote)

33747 St. Petersburg, Florida Molina Healthcare

Posted 11 days ago

Job Viewed

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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**
- 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.
View Now

Senior Specialist, Provider Network Administration

33603 Tampa, Florida Molina Healthcare

Posted 11 days ago

Job Viewed

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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: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now

Senior Specialist, Provider Network Administration

33747 St. Petersburg, Florida Molina Healthcare

Posted 11 days ago

Job Viewed

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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: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now

Specialist, Provider Network Administration (EST business hours)

33603 Tampa, Florida Molina Healthcare

Posted 11 days ago

Job Viewed

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Job Description

**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.
View Now

Specialist, Provider Network Administration (EST business hours)

33747 St. Petersburg, Florida Molina Healthcare

Posted 11 days ago

Job Viewed

Tap Again To Close

Job Description

**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.
View Now

Network Engineer

33603 Tampa, Florida Insight Global

Posted 1 day ago

Job Viewed

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Job Description

Job Description
Insight Global is seeking an experienced Network Engineer to work on-site in Tampa, FL. Responsibilities include: -Main functions: patching/upgrading Cisco network equipment (routers/switches)
-Design, implement, and maintain network infrastructure, including Cisco routers, switches, and wireless access points across Power Plants, Solar Fields, and Control Centers.
-Replace routers and switches at client sites -Collaborate with cross-functional teams to ensure seamless installation and configuration of server and storage infrastructure.
-Monitor, troubleshoot, diagnose, and resolve server, network, DDoS protection, and NetScaler load balancer issues.
-Provide project leadership and consult with peers on security-related matters.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
Must Haves
-8-10 years of experience planning/designing, implementing, and supporting new and existing network Devices
-Experience with Cisco routers, Switches and Wireless Access Points
-Experience patching/upgrading Cisco network equipment (routers /Switches)
-Router/switch configurations/break-fix
-Experience supporting network vulnerabilities -Load Balancer
-SolarWinds
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About the latest Network administration Jobs in Tampa !

Apigee Network Engineer

33646 Tampa, Florida CyberTec

Posted 5 days ago

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Job Description

Title: Apigee Network Engineer
Company: CN
Duration: 6m contract to hire
Location: Jacksonville, FL (3 days onsite-HYBRID)- okay with relocation
Pay: 70-75hr on W2

LinkedIn updated and USC Or GC

Skills:
We do not have whole JD now this is an exclusive role that why we have notes of skill only

Must be strong ins GCP and Terraform
Apigee exp is a plus
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Network Engineer III

33601 Tampa, Florida $110000 Annually WhatJobs

Posted today

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Job Description

full-time
Our client, a major player in the telecommunications industry, is seeking an experienced and highly skilled Network Engineer III to design, implement, and maintain our robust network infrastructure. This position requires deep expertise in network architecture, routing, switching, and security protocols. You will be responsible for managing complex network configurations, troubleshooting critical network issues, and ensuring high availability and performance of all network services. Key duties include collaborating with cross-functional teams, developing network upgrade strategies, performing capacity planning, and implementing new network technologies. The ideal candidate will possess a strong understanding of TCP/IP, BGP, OSPF, MPLS, and various network security principles. Experience with network monitoring tools and automation frameworks is highly desirable. Excellent problem-solving skills, the ability to work under pressure, and strong analytical capabilities are essential. Cisco certifications (CCNP, CCIE) or equivalent experience are strongly preferred. You will be instrumental in ensuring the reliability and scalability of our telecommunications network, supporting critical business operations. This is an on-site role requiring your presence in **Tampa, Florida, US**, offering a challenging and rewarding career in a rapidly evolving technological landscape.
Apply Now

Telecommunications Network Engineer

32205 Riverview, Florida $90000 Annually WhatJobs

Posted 1 day ago

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Job Description

full-time
Our client, a leading innovator in telecommunications technology, is seeking a skilled Telecommunications Network Engineer to join their fully remote team. This role is vital for the design, implementation, and maintenance of robust and scalable telecommunications networks. You will be responsible for ensuring the optimal performance, reliability, and security of our network infrastructure, which supports a wide range of advanced communication services. The ideal candidate will have a strong understanding of network protocols, hardware, and software, with hands-on experience in configuring and troubleshooting complex network environments. This remote position offers the flexibility to work from anywhere while collaborating with a dedicated team of engineers focused on pushing the boundaries of network technology.

Responsibilities:
  • Design, deploy, and maintain telecommunications network infrastructure, including routers, switches, firewalls, and other networking devices.
  • Monitor network performance, identify bottlenecks, and implement solutions to optimize efficiency and reliability.
  • Ensure the security of the network infrastructure through the implementation of security best practices and protocols.
  • Troubleshoot network issues, perform root cause analysis, and implement timely resolutions.
  • Develop and maintain network documentation, including diagrams, configurations, and procedures.
  • Collaborate with cross-functional teams to integrate network solutions with other IT systems.
  • Plan and execute network upgrades and expansions to meet growing demands.
  • Stay up-to-date with the latest advancements in telecommunications technology and network protocols.
  • Provide technical support and guidance to internal teams and external partners.
  • Contribute to the development of network architecture and strategic planning.
  • Participate in on-call rotations to provide emergency support for network issues.
  • Research and evaluate new networking technologies and solutions.

Qualifications:
  • Bachelor's degree in Computer Science, Electrical Engineering, Telecommunications, or a related field.
  • 3-5 years of experience in telecommunications network engineering or a similar role.
  • In-depth knowledge of networking protocols (TCP/IP, BGP, OSPF, MPLS, etc.) and network security principles.
  • Experience with configuring and managing enterprise-level network hardware from vendors such as Cisco, Juniper, or similar.
  • Familiarity with network monitoring tools and performance analysis techniques.
  • Strong troubleshooting skills and the ability to diagnose and resolve complex network problems.
  • Excellent communication and collaboration skills, with the ability to work effectively in a remote team environment.
  • Relevant industry certifications (e.g., CCNA, CCNP, JNCIS) are a plus.
  • Experience with VoIP, wireless networks, or cloud networking is advantageous.
  • Self-motivated with the ability to work independently and manage time effectively.

We offer a competitive salary, comprehensive benefits package, and the opportunity to work on challenging and rewarding projects in a dynamic remote setting. If you are a network engineering professional passionate about telecommunications, we encourage you to apply.
Apply Now
 

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