United States onlyProvider Network Specialist job description: Analyzing provider performance, demographic information, financial data, quality reports, and special project data. Preparing for monthly provider meetings and Joint Operating Committee meetings. Auditing functions, contract processing, and network adequacy. Evaluating participation requests and making recommendations to management.
Requirements
- 3+ years of direct provider interaction
- 3+ years healthcare experience with Medicare Advantage or other relevant experience.
- Proven track record of detail oriented work
- Ability to navigate Google or MS Suite of products as well as AI
- Experience in claims research, provider set up, root cause analysis, process improvement
Benefits
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
