Provider Network Support

Job not on LinkedIn

🔥 1 minute 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.

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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 • 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: Word, Excel, PowerPoint, and Outlook • Familiarity with communication tools: 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 with pre-tax savings • Health savings account options with pre-tax savings • Employer contribution match through the company-sponsored 401(k) retirement plan; immediately vested • Professional courses • Certifications • Tuition reimbursement programs