Network Outreach Specialist I
Horizon Blue Cross Blue Shield of New Jersey · United States · US
Other
Remote
physician
Dentist
Demand65
Career growth55
Healthcare fit62
Remote potential45
Salary band
USD 50k – 67k
5-year outlook
Stable payer operations role with likely modest entry-level pay; longer-term growth may come from moving into provider relations, network management, compliance, or data quality roles. Exact salary is not stated in the posting.
Clinical license
Not required
Applicant reach
moderate
Seniority
entry
Employment type
full-time
Date found
2026-10-28
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Profession fit
- physician, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for clinicians who want payer-side provider network and compliance experience and are comfortable with high-volume phone outreach and documentation. Less suitable for those seeking clinical leadership, strategic influence, or direct patient care.
Who should apply
Nurses, IMGs, healthcare graduates, and other clinicians with customer service, call center, provider relations, or managed care exposure who want to move into payer operations and network compliance.
CV angle
Frame real clinical experience around provider-facing communication, knowledge of credentialing/claims workflows, member eligibility, preventive care outreach, conflict resolution, and accurate documentation in databases. Emphasize any direct interaction with physician offices, office managers, or managed care processes without overstating payer experience.
Skills to highlight
- Provider outreach and communication
- Provider data validation and directory accuracy
- Managed care and health insurance knowledge
- Compliance documentation
- Customer service and problem resolution
- Claims and credentialing support
- Member eligibility verification
- Database/CRM documentation
Role summary
A payer-side network outreach role that validates provider directory data through outbound calls, supports provider and member inquiries, assists with PCP/PCD changes and eligibility checks, and helps maintain compliance with DOBI, CMS, and NCQA accuracy regulations.
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