New

Provider Relations Representative

TEKsystems
$20.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Nebraska, Lincoln
Sep 18, 2025
Description Provide quality customer service through daily contact with providers ensuring they are educated on all contractual issues. Strengthen provider loyalty and ensure required persistency of network is achieved. * Maintain contract knowledge of all networks to ensure the information provided to our customers is in accordance with guidelines and state requirements. Daily liaison for panel leasing arrangements including administration, customer complaint resolution, and claim discrepancy situations. Extensive knowledge and proficiency of the Managed Care imaging system. Responsible for the credentialing and re-credentialing of our network providers. Responsible for the reporting of providers to the HealthCare Integrity and Protection Data Bank and related state licensing boards. Assist in recruitment of providers in targeted areas and keep abreast of the current recruitment plan to provide accurate information to our customers. Partner with our Provider Network Representatives to help expand our growing network. Develop and maintain relationships with contacts from assigned files, and make the appropriate updates or changes to our system as needed. Assist in the fee negotiation process between active or potential network providers and our Actuarial department, providing the appropriate information for fee review. Provide effective complaint resolution for our insured members and network providers. This may involve educating dental offices regarding their agreement, and acting as a mediator between dental office and insured persons. Meet all functional measurements when processing work from the Managed Care Imaging queues. Partner with the Compliance and Law departments to ensure that we are following state laws involving PPO contracts and Credentialing requirements. #eastpriority25 Pay and Benefits* The pay range for this position is $20.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Lincoln,NE. Application Deadline This position is anticipated to close on Sep 24, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.