Provider Network Specialist
Job Description:
- Build and maintain PHM’s proprietary database of elite healthcare providers, ensuring depth, accuracy, and clinical relevance
- Expand PHM’s provider network through thoughtful research, evaluation, and relationship development
- Support the implementation of technology-enabled processes that streamline provider management, insurance verification, and patient access
- Conduct thorough reviews of provider credentials and healthcare programs using PHM’s gold-standard evaluation criteria
- Partner closely with clinical, research, and operations teams to translate provider insights into actionable recommendations that impact client outcomes
- Proactively researching and identifying high-quality providers across a range of medical specialties
- Evaluating providers and programs in collaboration with clinical and research partners
- Using and improving internal tools and workflows to enhance provider data quality and operational efficiency
- Supporting cross-functional teams by ensuring provider intelligence is accessible, accurate, and actionable
- Contributing reputed company and process improvements as PHM continues to evolve and scale
Requirements:
- A solutions-oriented reputed company with the ability to navigate ambiguity, solve reputed company problems, and continuously improve how work gets done
- A strong affinity for technology and process optimization; you’re an early adopter who looks for smarter, more scalable ways to work
- A self-starter approach with strong research and analytical skills, and the ability to synthesize information across medical specialties
- Excellent collaboration and communication skills, with the ability to work effectively across clinical, research, and operations teams
- Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced, high-growth environment
- Prior provider-facing healthcare experience and/or a degree in a healthcare-reputed company field strongly preferred
- Experience conducting or administering academic and/or clinical research strongly preferred
Benefits:
- health, dental, and vision benefits
- 401(k) with match
- paid time off
- PHM for PHM (our services for you and your dependents)
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