Network Operations Center Technician I
1Path
Senior Network Operations Manager, Specialty Care
Spring Health
full-time
Posted on:
Location: 🇺🇸 United States
Visit company websiteSalary
💰 $110,000 - $142,500 per year
Job Level
Senior
Tech Stack
Spring
About the role
- Lead and manage the vetting process for higher levels of care (HLOC) providers across multiple specialties, establishing critical partnerships to ensure full spectrum of care delivery
- Support customer-specific provider vetting, ensuring key accounts have access to trusted, high-quality external provider partners
- Build and maintain an internal provider vetting framework in partnership with Provider Operations and Clinical teams to drive a consistent, elevated standard for all provider partners specific to Specialty Care
- Define and document vetting criteria and workflows, integrating feedback loops from internal stakeholders and clinical partners
- Conduct external research to identify high-quality providers, facilities, and services to meet evolving Specialty Care needs
- Act as a primary point of contact with external provider organizations, conducting outreach, assessments, and initial vetting
- Maintain a strong understanding of the behavioral health provider landscape
- Collaborate with Clinical and Sales & Customer Success teams to ensure the external network aligns with member needs and customer expectations
- Collaborate with internal Clinical teams to design and document SOPs for referral processes
- Identify opportunities to support referrals through AI-based tools or workflow automation, improving efficiency and consistency
- Serve as an operational lead to troubleshoot and evolve internal referral pathways for high-acuity member needs
- Track key metrics and outcomes to inform and improve referral success and partner performance
- What success looks like in this role: Creation of a standardized, high-quality provider vetting process; Internal referral processes are clearly documented, supported with tools, and functioning efficiently across clinical teams; Provider and referral operations scale effectively to meet growing Specialty Care needs
Requirements
- 6+ years of experience in operations, provider or network management, consulting, or healthcare delivery systems
- 4+ years working in healthcare, preferably in a provider network, payor operations, healthcare administration or clinical coordination setting
- Experience building or optimizing processes in high-complexity, cross-functional environments
- Strong project management and documentation skills with an ability to drive clarity across multiple teams
- Analytical mindset; comfortable working with data to evaluate provider quality and operational efficiency
- Exceptional attention to detail and follow-through
- Comfortable navigating ambiguity and collaborating across clinical and operational domains
- Strong written and verbal communication skills; able to synthesize complexity for diverse stakeholders
