Provider Network Specialist

Job not on LinkedIn

🔥 14 hours ago

🌲 Oregon, Washington – Remote

🌲 Oregon – Remote ☕ Washington – Remote

💵 $65k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Analyze provider demographic information, financial data, quality reports, and special project data • Support the performance team in preparing for and executing monthly provider performance meetings • Conduct in-depth audits across provider performance systems, including Orinoco, online search tools, print directories, Looker reports, and claims payment processes • Evaluate data to identify gaps, inefficiencies, and root causes impacting provider performance • Deliver actionable insights and partner with the performance team to implement improvements • Engage directly with providers to resolve provider-related issues and ensure timely resolution and documentation • Manage the full contract lifecycle • Support onboarding high-performing providers and improve overall engagement • Partner with Performance Managers to prepare for monthly performance meetings • Pull data using AI-driven prompts and advanced AI tools • Prepare slide decks and follow-up items from previous meetings

🎯 Requirements

• Must be located in Washington or Oregon • A minimum of 3 years of healthcare experience, preferably in Medicare Advantage or similar environments • 5 years of direct provider interaction experience • Demonstrated ability to manage detailed, performance-driven work • Proficiency in Google or MS Suite Workspace applications • Experience in claims research, provider setup, root cause analysis, and process improvement with a focus on provider engagement • Strong written and oral communication skills • Organized and detail oriented • Ability to effectively manage competing priorities and ambiguity is essential • Ability to gather, read, analyze, and interpret complex data and create accurate meaningful information for data reporting • Ability to facilitate meetings and make presentations before groups of management and staff

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Commission eligibility for Sales roles • Parental leave program • 401K program