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Remote candidate

Rickieha R. Patrick

Medicare Advantage Network Operations | Provider Contracting, Credentialing & Data

Birmingham, AL, United States Senior
Contact candidate
Target rolesNetwork Operations Coordinator, Provider Contract Implementation Manager
TimezoneAmerica/Chicago
Work eligibilityUnited States
Profile updatedOct 25, 2026
Profile summary

What this candidate is looking for

Medicare Advantage Network Operations | Provider Contracting, Credentialing & Data

Target roles
Network Operations CoordinatorProvider Contract Implementation ManagerMedicare Advantage Provider Data SpecialistProvider Contracting SpecialistCredentialing Operations Specialist
Skills
Provider contract implementationProvider contractingCredentialing hand-offProvider data maintenanceNetwork adequacyRoster and directory accuracyMedicare Advantage HMO/PPO networksContract rate verificationFee schedule and benefit alignmentValue-BasedFee-for-ServiceFQHCand RHC contractsWorkflow and special project managementProcess improvementTeam training and advisingStakeholder reportingContract tracking and audit documentationClaims error preventionQNXTSymplrTrackManagerSharePointMicrosoft ExcelMacro analyticsCMS complianceHIPAAProvider claims supportCustomer serviceMedicare benefitsGrievance intakeClaims issue resolutionICD-9 codingCMS-1500 formsEDIProvider enrollmentCoordination of Benefits
Remote preferences
LocationBirmingham, AL, United States
SenioritySenior
Salary target$85k+
Employment typefull_time