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# Provider Network Specialist

- **Company:** Maryland Care Management, Inc.
- **Location:** Linthicum Heights, MD, United States (Remote available)
- **Contract:** Permanent contract
- **Skills:** Access Network, Business Process Modeling, Network Analysis, Clinical Terminology Servers, Microsoft Office
- **Published:** August 3, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=88e7158cf1243ed8

## About the Role

Knowledge and Skills:

 * The ability to review and comprehend contracts and services.
 * The ability to present information effectively in one-on-one and small group settings to providers and employees.
 * The ability to use advanced reason to define problems, collect data, establish fact, draw valid conclusions, and design, implement, and manage appropriate action plans.
 * Advanced and meticulous organization and coordination.
 * Must be able to successfully utilize geographic accessibility data, and Microsoft Office Suite and common computer and office hardware.

Education and Work Experience:

 * Bachelor's degree in business, health, management systems or closely related field is preferred, although an equivalent combination of formal education and experience may substitute for a degree.
 * Experience with large provider organizations, ancillary and hospital providers, clinical terminology.
 * Working experience with Geo Access or equivalent system is required.

## Description

Assesses network access and generates reports, including Geo Access, for provider network analysis and planning. Identifies recruitment opportunities and assists in the analysis and development of cost-effective, contractual agreements with healthcare providers and institutions that can be administered efficiently and that follow state and federal regulatory requirements., * Evaluates current contracts, and applies managed care reimbursement principles (capitation, per diems, creative reimbursement, etc.) to identify cost savings, while maintaining quality.

 * Researches current and new contract operational procedures; coordinates with appropriate departments, to streamline processes wherever possible.
 * Coordinates implementation of new contracts with departments involved.
 * Coordinates internal review and determine/evaluate administrative feasibility throughout the continuum of the contracting process.
 * Initiates contract flow process; ensures appropriate signatures, and data entry to system.
 * Acts as team lead and trainer for Provider Data Coordinators.
 * Ensures appropriate legal / regulatory review of contracts prior to execution.
 * Monitors provider availability and accessibility to ensure provider network coverage.
 * Creates and reviews Geo Access reports and makes recommendations for future provider network build-out.
 * Assists with onsite contractual reviews; ensures 100% accuracy and timeliness of information/modification data entry in provider files of Geo Access system.
 * Assists with training of providers regarding MPC processes and benefits; conducts follow-up training to ensure policy compliance and education continuity; disseminates written correspondence as necessary to address issues, problems, and new information, as needed.


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