Provider Network Advisor

Corewell Health • Grand Rapids, MI

1d

About The Position

The Provider Network Advisor collaborates with cross-functional teams and organizational stakeholders to support provider network strategy, network adequacy analysis, and project management initiatives. The role uses Quest Data Analytics and provider transparency data to evaluate network performance, identify provider access opportunities, and support network expansion efforts in Michigan, Indiana, and Wisconsin. The advisor partners with leadership on initiatives to improve operational efficiency, identify cost-saving opportunities, ensure regulatory compliance, and enhance provider and member satisfaction.

The position contributes to the development and implementation of Priority Health’s philosophy, mission, goals, and objectives in alignment with the Provider Network strategic work plan. It organizes, coordinates, and leads key initiatives established by department leadership, including preparation of key decision-point documents and strategic presentations. The advisor recommends solutions to business owners based on business problems and requirements, accounting for time and resource constraints and potentially proposing both short- and long-term options. The position coordinates related projects, balances resources across the department and organization to support timely, efficient completion, and is responsible for the quality of deliverables.

Requirements

• Bachelor’s degree or equivalent in contracting, finance, health administration, public health, or another related field.
• 10 years of relevant experience within the healthcare industry in Michigan.

Nice To Haves

• Master’s degree or equivalent in public health, health administration, analytics, statistics, informatics, biostatistics, economics, math, engineering, or another related field.

Responsibilities

• Participate in developing and implementing Priority Health’s philosophy, mission, goals, and objectives in alignment with the Provider Network strategic work plan.
• Organize, coordinate, and lead key initiatives that support goals established by department leadership.
• Produce key decision-point documents and strategic presentations.
• Recommend solutions to business owners based on business problems and requirements, considering time and resource constraints and short- and long-term options.
• Coordinate related projects to complete them on time and efficiently while balancing resources across the department and organization.
• Ensure the quality of deliverables.
• Use Quest Data Analytics and provider transparency data to evaluate network performance, identify provider access opportunities, and support network expansion.
• Partner with leadership on initiatives to improve operational efficiency, identify cost-saving opportunities, ensure regulatory compliance, and enhance provider and member satisfaction.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with offers on restaurants, phone plans, spas, and other items.
• Optional identity theft protection, home insurance, and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior