Provider Network Support

Job not on LinkedIn

🔥 13 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

👻 Ghost score 10%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Planned Systems International

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1988

💼 Consulting

🎖️ Defense

📦 Logistics

Consulting • Defense • Logistics

Planned Systems International is a company focused on developing innovative solutions at the intersection of health, national security, and federal civilian operations. Since its inception in 1988, PSI has utilized cutting-edge technologies to tackle critical challenges faced by government and civilian agencies, striving to elevate healthcare accessibility through programs like the ARPA-H PARADIGM initiative. The company emphasizes operational efficiency and integrity, while fostering a collaborative work culture to empower its employees and meet diverse client needs.

📋 Description

• Analyze provider rosters and network data to identify gaps in specialty coverage, geographic access, appointment capacity, and credentialing status • Coordinate with network and clinical stakeholders to validate data and track remediation activities • Develop and maintain provider capacity analyses, enrollment dashboards, status reports, and leadership briefing materials • Review provider enrollment and credentialing workflows, metrics, delays, and compliance concerns and recommend practical improvements • Support provider recruitment, communications, training, and credentialing prioritization activities • Provide consultative support for network-related escalations and help identify qualified providers for member care needs • Support single case agreements and letters of agreement through established review and approval processes • Conduct quality reviews and audits of provider files and network processes, document findings, and track corrective actions • Develop or update SOPs, process maps, training materials, templates, and other knowledge-management resources • Participate in program meetings, document decisions and action items, and coordinate follow-up with responsible stakeholders • Safeguard member, provider, and program information in accordance with applicable privacy, security, and records-management requirements

🎯 Requirements

• Experience supporting provider network operations, provider enrollment, credentialing, healthcare operations, managed care, or a related function • Demonstrated ability to analyze operational data, identify gaps or trends, and translate findings into actionable recommendations • Experience developing dashboards, reports, process documentation, or briefing materials • Strong organizational, analytical, problem-solving, written communication, and stakeholder-coordination skills • Ability to manage recurring deliverables, maintain accurate documentation, and track issues through resolution • Ability to handle sensitive healthcare and provider information appropriately • Proficiency with MS Office, including Word, Excel, PowerPoint, and Outlook • Experience with communication tools, including Teams and SharePoint

🏖️ Benefits

• Paid leave • Employer-sponsored group medical insurance options • Dental insurance options • Vision insurance options • Short-term disability insurance • Long-term disability insurance • Life insurance • AD&D coverage • Legal services • Identity theft insurance • Accident insurance • Flexible spending account options • Health savings account options • Employer contribution match through the company-sponsored 401(k) retirement plan, immediately vested • Professional courses • Certifications • Tuition reimbursement programs