Careers

Our Culture

At PNS, our purpose is: Continuous and never ending improvement through professional, financial, spiritual and personal growth. This unwavering motivation is evident in our product, our services, and especially our team.

You will find a culture where people are inspired to be better. Better, that is, in both their personal and professional lives. This is a company where you will be surrounded by people who want to see you grow in an environment where you will be inspired to become the best version of yourself.

Our BHAG (Big Hairy Audacious Goal)

Premier Specialty Health Plan Servicing 100 Million Lives in all 50 States

Our Purpose

Continuous and Never Ending Improvement through professional, financial, spiritual and personal growth.

Our Core Values

  • Committed To Team Success
  • Treat Each Other Like Family
  • Challenge Ourselves To Be Better
  • C.A.N.I. Attitude
  • We Got You
  • Every Voice Matters

Making A Difference

PNS has developed a corporate citizenship program that creates awareness, encourages good citizenship and promotes company culture. We hold monthly event that highlight specific causes and/or charitable organizations.  Our corporate citizenship program reflects PNS’ core values: empathy, honesty, integrity, respect, kindness and accountability. For more information click here

Current Opportunities

JOB DESCRIPTION

Marketing Associate

The Marketing Associate will help the Marketing and Communications department develop new engaging campaigns and strategies to drive traffic and increase brand awareness. The ideal candidate will be a Social Media rock star and able to analyze marketing data and metrics. The marketing associate will also be involved in creating promotional events, compelling content, and traditional media strategies for print advertising. The candidate should have a background in marketing and experience with digital analytic tools and applications, and well as marketing strategy.

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Compliance and Audit Manager

The Compliance and Audit Manager establishes, implements and maintains an effective compliance program to prevent illegal, unethical or improper conduct.  The Compliance and Audit Manager conducts all internal and external audits and ensures compliance with regulatory, contractual and internal controls. The Compliance and Audit Manager is responsible for performing risk assessment for the company while understanding laws and regulations.

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Office Associate

The Office Associate performs routine clerical, secretarial and administrative work in answering telephones, receiving the public, providing customer assistance, data processing, and record-keeping.

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Appeals Specialist

The Appeals Specialist’s main function is to timely analyze, process and respond to Provider appeals related to payment denials of provider claim within the regulatory timelines set forth by the governing bodies and pursuant to contractual obligations.  The Appeals Specialist will also, conduct and record daily functions to ensure proper communication and documentation is made internally and externally.

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Senior Benefit Analyst

The Senior Benefit Analyst is responsible for processing submitted electronic claims to ensure proper filing procedures and that processing guidelines and rules have been followed.  The Senior Benefit Analyst also validates claim or referral submissions to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements and refers complex/questionable claims to the Claims Manager for further review.

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Full-Stack Programmer

The Full-Stack Developer is responsible for designing, coding and modifying applications, websites, and API’s from layout to function and according to a client's specifications. Strive to create visually appealing sites that feature user-friendly design and clear navigation.

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Provider Servicing Specialist – Region 9

Position to cover servicing for Podiatry, Dermatology and Orthopedic Network in Region 9.

Manages the Podiatry, Dermatology and Orthopedic Physician networks by developing and maintaining relationships to drive business results within a specific geographic area.  Provides service and education to Network Providers and staff.  Achieves company targets through implementation of the policies and procedures.

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Paralegal

The Paralegal will lead strategic and tactical legal initiatives and be responsible for reviewing and drafting agreements.  In addition, the Paralegal performs support functions in the daily operations of the Legal Department by reviewing, gathering, organizing and processing information.

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Contracting Specialist – North FL

Position to cover contracting in North Florida for all active and future specialties. Areas of coverage include Region 1, Region 2, Hamilton, Suwannee, Columbia, Lafayette, Union, Bradford, Dixie, Gilchrist, Alachua, Putnam, Baker, Nassau, Duval, Clay, & St. Johns counties.

Manages the physician networks by developing and maintaining relationships to drive business results within a specific geographic area.  Provides service and education to Network Providers and staff.  Works in concert with medical management and provider relations developing actions to meet market growth and medical cost targets

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Customer Service Specialist

Customer Service Specialist is responsible for providing support to network providers, medical offices and billing companies.  The customer service specialist will answer questions regarding eligibility, authorization, network guidelines, claims status and general health plan information.

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