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American Girl Direct Service Associate - Seasonal (Remote - WI) 2nd Shift
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Full-time
high school, associate degree
Paid volunteer time
Posted 2d ago
~40 hrs/week
Responsibilities
The Provider Integration Representative manages provider data, credentialing, and recredentialing processes to ensure regulatory compliance. They also resolve provider inquiries and collaborate with internal departments to maintain data integrity and improve operational processes.
Requirements
Candidates must have a high school diploma, with an associate degree in a relevant field preferred. At least one year of experience in managed care, provider data, or credentialing is required, along with proficiency in office software and database applications.
Full job description
The Provider Integration Representative will support personnel for Credentialing and Provider Informatics. This role is responsible for aiding provider data management, provider credentialing needs, and maintenance of accurate provider information across all lines of business. This role supports provider onboarding, credentialing, recredentialing, provider data integrity, regulatory compliance, and provider inquiries while ensuring compliance with NCQA, CMS, and organizational standards.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day.
Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday
Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
Maintain accurate provider demographic, contract and credentialing data across systems
Coordinate and aid in credentialing, recredentialing and ongoing monitoring needs
Research and resolve provider data discrepancies and respond to provider inquiries
Support NCQA, CMS, delegation and audit requirements
Responding to provider/interdepartmental inquires via email, phone, etc.
Aid in maintain credentialing policies, desk references and process documentation
Partner with internal departments and provider offices to resolve issues
Identify and implement process improvements and automation opportunities
Protect confidential information and comply with organizational security policies
Perform additional duties as assigned
Job Requirements:
High school diploma required
Associate degree in Business, Medical Staff Services, Insurance or related field preferred or equivalent experience
One or more years of experience in managed care, provider data, credentialing, or provider operations
Some knowledge of databases, word processing and spreadsheet applications (Microsoft Word, Excel, QuickBase, and Echo Credentialing Software)
Our mission is to create healthy and strong Wisconsin communities.
Industry
Insurance
Company size
501-1,000 employees
Founded
1982
Headquarters
Menasha, WI
LinkedIn followers
7,672
At Network Health, we do what’s right, even when it isn’t easy. We’re honest and hardworking, just like you, Wisconsin. Serving both employer groups and individuals, Network Health has recently grown to be the largest provider-owned Medicare Advantage plan in Wisconsin. Network Health has offices in Brookfield and Menasha.
Our mission at Network Health is to create healthy and strong Wisconsin communities. Founded in 1982 and locally owned by Froedtert ThedaCare Health, Network Health offers health plans for individuals, families and employers, while leading Wisconsin as the state’s largest provider-owned Medicare Advantage plan. We partner with local providers to deliver coordinated, high-quality care for people of all ages while keeping communication simple and member-focused.
Offices: 1570 Midway Place, Menasha, WI 54952, US · 16960 W Greenfield Ave, Brookfield, Wisconsin 53005, US
Health InsuranceIndividual and Family PlansEmployer Group PlansWellness ProgramsCustomer Serviceand Medicare Advantage PlansHealth CareFitnessInsuranceFinancial Services
Based on 433 listings with disclosed salaries, most administrative jobs in Wisconsin pay between $50k–$95k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Wisconsin right now?
There are currently 4,895 open administrative positions in Wisconsin listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Wisconsin?
Companies currently hiring include American Addiction Centers, Universities of Wisconsin, Froedtert Health, Ascension, Marcus Corporation, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Wisconsin?
Yes — 611 of the 4895 open administrative positions offer remote or hybrid work (162 remote, 449 hybrid).
How do I apply for Administrative jobs in Wisconsin?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.