Diverge Health

Network Operations

• Serve as the organization's subject matter expert on our provider network
• Own the accuracy, integrity, and management of practice and provider data
• Manage end-to-end roster processes
• Build deep expertise across our markets and payer relationships
• Partner closely with Payer Account Management, Network Development, Practice Operations, and Market Presidents to keep our provider data accurate
• Bring analytical rigor and operational precision to payer submissions and contract accuracy reviews
• Contribute to CRM development and process improvement
• Help build the systems and workflows that will support Diverge's continued growth.

Senior Associate, Network Operations

General

• Conduct a high volume of outbound calls to patients, including many who have not previously encountered Diverge Health.
• Field inbound calls from patients responding to outreach from either Diverge Health or referrals from their primary care provider, or from primary care providers attempting to coordinate patient services with Diverge Health.
• Identify and support patients who are overutilizing the emergency room by guiding them toward more appropriate care options.
• Reach out to patients undergoing care transitions (e.g., from hospital to home following a hospital discharge) to ensure they have follow-up care in place, educate patients about the importance of preventive care and the need for regular visits with their provider.
• Assist patients in scheduling appointments, navigating care options, and resolving barriers to access.
• Build trust with patients and tailor conversations to meet their individual needs.
• Maintain accurate and organized records of patient interactions using CRM systems (e.g., Salesforce).
• Meet or exceed daily outreach and engagement performance metrics.

Health Engagement Specialist

Advocate

• Conduct structured virtual eligibility assessments with patients and caregivers to confirm SSI/SSDI eligibility and gather the information needed to move applications forward
• Request, compile, and review medical records from relevant providers, and prepare medical summary reports for submission to the Social Security Administration (SSA) and Disability Determination Services (DDS)
• Submit completed applications to the SSA and DDS, and serve as the designated SSA Representative for patients without legal representation
• Manage ongoing weekly outreach calls with patients to provide status updates, address questions, and keep the application process on track
• Coordinate with Patient Enrollment Specialists and Health Coaches to support patients who need additional engagement or care coordination touchpoints
• Handle administrative responsibilities associated with the program, including PO box management and documentation tracking, with accuracy and follow-through
• Leverage AI-assisted tools to support records review and medical summary writing, with a clear understanding of when to verify outputs and how to use these tools in a HIPAA-compliant manner
• Partner with internal teams to flag workflow gaps, share patient insights, and contribute to the continued development of scalable, compliant benefits enrollment processes

Social Services Advocate

• As the Senior Analyst, Network Analytics you will sit at the center of our network operations — managing end-to-end roster processes, building deep expertise across our markets and payer relationships.
• Partnering closely with Payer Account Management, Network Development, Practice Operations, and Market Presidents to keep our provider data accurate, complete, and actionable.
• Bringing analytical rigor and operational precision to everything from payer submissions and contract accuracy reviews to CRM development and process improvement.
• Helping us build the systems and workflows that will support Diverge's continued growth.
• Collaborating with Practice Operations and Practice Liaisons to gather roster updates, support new practice onboarding, and ensure data accuracy across platforms; provide flexible operational support as our team grows.

Senior Associate, Network Operations

Health Engagement Specialist

Social Services Advocate

Senior Associate, Network Analytics