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Provider Network Specialist
The Health Management AcademyProvider Network Specialist at PHM expanding and strengthening healthcare provider networks. Involves research, evaluation, and use of technology to improve healthcare access.
About the role
Key responsibilities & impact- 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 ideas and process improvements as PHM continues to evolve and scale
Requirements
What you’ll need- A solutions-oriented mindset with the ability to navigate ambiguity, solve complex 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-related field strongly preferred
- Experience conducting or administering academic and/or clinical research strongly preferred
Benefits
Comp & perks- health, dental, and vision benefits
- 401(k) with match
- paid time off
- PHM for PHM (our services for you and your dependents)
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
provider managementinsurance verificationcredential evaluationdata quality improvementprocess optimizationresearch skillsanalytical skillsclinical researchprogram evaluationprovider evaluation
Soft Skills
solutions-oriented mindsetproblem-solvingcollaborationcommunicationattention to detailorganizational skillsself-starterability to synthesize informationrelationship developmentadaptability