Provider Network Specialist

13 hours, 26 minutes ago
Full-time
Mid Level
Operations

Private Health Management

Private Health Management is a healthcare company that provides complex care management, healthcare navigation, intensive case management, expert physician referrals, research support, and coordinated treatment guidance for people facing serious or complex medical conditions.

Healthcare
201-500
Founded 2007

Description

  • Build and maintain PHM’s proprietary database of healthcare providers, ensuring accurate and clinically relevant information.
  • Research, identify, and evaluate high-quality providers and healthcare programs across medical specialties.
  • Expand the provider network through research, credential reviews, and relationship development.
  • Support technology-enabled workflows for provider management, insurance verification, and patient access.
  • Partner with clinical, research, and operations teams to turn provider insights into actionable client recommendations.
  • Improve internal tools, data quality, processes, and operational efficiency.
  • Ensure provider intelligence is accessible, accurate, and actionable for cross-functional teams.
  • Contribute process-improvement ideas as PHM scales its operations.

Requirements

  • Availability to work Pacific or Mountain Time Zone business hours.
  • Excellent collaboration and communication skills across clinical, research, and operations teams.
  • Strong research, analytical, organizational, and attention-to-detail skills.
  • Ability to synthesize information across medical specialties and manage multiple priorities.
  • Solutions-oriented approach with the ability to navigate ambiguity and solve complex problems.
  • Strong interest in technology, process optimization, and scalable workflows.
  • Prior provider-facing healthcare experience or a degree in a healthcare-related field preferred.
  • Experience conducting or administering academic or clinical research preferred.
  • Customer service, concierge, or client-relations experience preferred.
  • Must reside and work physically within the United States.

Benefits

  • $26.00–$28.85 per hour target rate, with an anticipated annual range of $55,000–$60,000 USD.
  • Health, dental, and vision benefits.
  • 401(k) plan with company match.
  • Paid time off.
  • PHM for PHM services for employees and dependents.
  • Fully remote work environment.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Partner Funding Operations Specialist

Caylent 251-1K IT Services

Caylent is seeking a fully remote Partner Funding Operations Specialist to manage AWS and Anthropic funding workflows, including documentation, invoicing, compliance, and stakeholder coordination.

AWS Salesforce
13 hours, 11 minutes ago

Senior Inventory Specialist

Motive 1K-5K Road & Rail

Motive is seeking a Senior Inventory Specialist to manage inventory transactions and 3PL warehouse operations, maintaining accurate systems data and supporting global supply chain planning.

NetSuite Snowflake SQL
13 hours, 41 minutes ago

Funding Processor

Libra Solutions 51-250 Specialized Consumer Services

Libra Solutions is seeking a Funding Processor to support its legal funding sales team by reviewing approved plaintiff cases and coordinating accurate, compliant payments.

14 hours, 41 minutes ago

Client Care & Operations Coordinator (US Healthcare) - CST Hours (Remote)

ISTA Solutions 251-1K Professional Services

ISTA Personnel Solutions South Africa is hiring a fully remote Client Care & Operations Coordinator to support a U.S.-based ABA therapy provider by coordinating family and employee communications, monitoring service quality, and assisting with healthcare operations and administration.

CRM HubSpot
14 hours, 41 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers