Network Management Specialist- Admin Healthcare Support
About The Position
This is a back-office opportunity supporting the Network Management team with high-volume provider data and health plan-related projects. This role is non-patient facing and involves minimal phone work. Key responsibilities include: Supporting provider data management and ensuring accuracy across internal systems Assisting with health plan initiatives, including provider verification and enrollment-related tasks Conducting provider outreach to collect required information and documentation Reviewing websites and databases to validate and update provider details Performing data entry and tracking in Excel Assisting with audits, employment verifications, and other special projects as needed Project Scope This team is supporting several key initiatives, including: Outreach to thousands of providers to support medical records collection and compliance efforts Verifying provider demographics for multiple new health plan products Assisting with contract amendments, attestations, and Health Plan ID resubmissions Supporting operational needs during open enrollment/AEP projects
Requirements
- Data entry and administrative support
- Customer service
- Strong proficiency in Excel and data management
- Experience with outreach and project-based work
- Professional communication skills and attention to detail
Nice To Haves
- Credentialing and medical staff support (preferred)
- Audit and employment verification experience (a plus)
- Healthcare experience is helpful but not required
Responsibilities
- Supporting provider data management and ensuring accuracy across internal systems
- Assisting with health plan initiatives, including provider verification and enrollment-related tasks
- Conducting provider outreach to collect required information and documentation
- Reviewing websites and databases to validate and update provider details
- Performing data entry and tracking in Excel
- Assisting with audits, employment verifications, and other special projects as needed
- Outreach to thousands of providers to support medical records collection and compliance efforts
- Verifying provider demographics for multiple new health plan products
- Assisting with contract amendments, attestations, and Health Plan ID resubmissions
- Supporting operational needs during open enrollment/AEP projects
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
