Network Management Specialist

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $70k - $80k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Enable Dental

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Enable Dental is a portable, at-home dental care provider that brings dental services directly to patients in their homes, assisted living facilities, and community centers. Specializing in providing comprehensive dental care to seniors, individuals with memory issues, and special needs populations, Enable Dental focuses on eliminating the stress of traveling for dental appointments. Their services include exams, cleanings, fillings, extractions, and more, all performed by licensed professionals in a comfortable and familiar environment, ensuring high-quality care accessible to those who may have limited options.

📋 Description

• Track specialist coverage needs by market, program, and specialty; prioritize gaps; research qualified practices; and conduct outbound calls, emails, and follow-up • Screen providers for Medicare and Medi-Cal/Denti-Cal enrollment, accessibility, service area, capabilities, and willingness to serve Seniors and Adults with Special Needs • Maintain provider records, outreach history, pipeline stage, ownership, next actions, and follow-up dates • Coordinate contracting and credentialing information, NDA and fee schedule steps, handoffs, and status visibility • Maintain referral processes and monitor volume, turnaround time, completion, aging, cost concerns, and unresolved exceptions • Coordinate provider onboarding readiness, credentialing status, referral workflow education, portal access, training, billing setup, communication expectations, and clinical training • Provide operational oversight of internal specialists in partnership with regional and clinical leadership • Serve as the primary operational contact for specialist practices after onboarding and coordinate follow-through on provider concerns • Coordinate provider-facing follow-up on invoicing or payment concerns and track internal resolution with Accounts Payable • Monitor provider activity, referral acceptance, response time, workflow adherence, inactivity, and relationship risks; support re-engagement, corrective action, or offboarding • Maintain network rosters, report coverage and pipeline health, identify stalled work and recurring barriers, and help evaluate and implement centralized tracking • Partner with Clinical Operations, Clinical Excellence Committee, Contracting, Credentialing, Billing, Account Management/Client Engagement, Market Directors, Clinical Team Managers, Referral Specialists, and PACE program teams • Own KPIs covering network gaps, outreach, recruitment pipeline, contracting/credentialing/onboarding visibility, referral performance, provider utilization, specialist operations, payment concerns, and relationship health

🎯 Requirements

• Two or more years of experience in healthcare operations, provider relations, network development, referral coordination, provider recruitment, sales, credentialing support, or a related field • Strong organization and follow-through across multiple providers, markets, priorities, and deadlines • Clear and professional written and verbal communication skills • Comfort with outbound provider outreach and relationship-based follow-up • Ability to build relationships, communicate value, and influence prospective providers through outreach and recruitment • Experience maintaining accurate records in a CRM, workflow platform, or complex operational tracker • Ability to coordinate work across multiple teams while keeping status, ownership, next steps, and escalations visible • Strong judgment and attention to detail • Ability to recognize missing information, stalled work, recurring barriers, and operational risk • Ability to work independently within established guidelines and escalate clinical, contracting, credentialing, or fee decisions appropriately • Ability to handle sensitive healthcare and business information and follow privacy and compliance requirements • Preferred: experience with PACE, Medicare, Medi-Cal/Denti-Cal, dental services, specialist networks, provider contracting, credentialing, onboarding, referral workflows, CRM or healthcare referral platforms, provider portals, utilization, network coverage, referral performance, operational KPIs, or providers serving Seniors and Adults with Special Needs • Reliable, high-speed internet access

🏖️ Benefits

• $70k–80k base salary, based on experience • No bonus • Flexible schedule based on provider availability, program needs, and occasional meetings across time zones • Remote work • Occasional travel based on business needs