Provider Network Specialist II

Call the Car•Diamond Bar, CA

4h•$23 - $25•Onsite

About The Position

Under the supervision of the Vendor Network Manager, the Provider Network Specialist II researches and recruits new subcontractors, supports the initial subcontractor contracting process, and helps ensure subcontractor compliance with contractual obligations. The role supports provider recruitment, contracting, network adequacy analysis, onboarding, training, performance monitoring, provider relationship management, and service coverage expansion. It also contributes to credentialing accuracy, reporting, process improvement, and assigned projects.

Requirements

At least 2–3 years of relevant credentialing or contracting experience.
High school diploma or GED required.
Proficiency with Microsoft Office, particularly Excel, Outlook, and Word.
Strong organizational skills and close attention to detail.
Strong verbal and written communication skills, with the ability to collaborate with team members and interact professionally with external contacts.
Ability to adapt quickly to changing priorities and handle multiple tasks simultaneously.
Strong problem-solving and critical-thinking skills, ability to multitask, and effective time-management skills in a fast-paced, team-oriented environment.
Basic knowledge of or willingness to learn company systems and procedures, including CTC Connect, dispatch software, customer service protocols, and client expectations.
Advanced analytical skills, including the ability to identify trends in data and make recommendations.
Ability to work independently with guidance from management.
Ability to type at least 40 words per minute.
Must pass a criminal background screening.
Must pass the government exclusion list screening at hire and monthly thereafter.
Some evening, weekend, and/or holiday work and light travel may be necessary.
Ability to sit, stand, kneel, bend, and/or lift at least 25 pounds.

Nice To Haves

Healthcare, transportation, or quality improvement experience.
Bachelor’s or associate degree.

Responsibilities

Support provider recruitment, contracting, network adequacy analysis, gap identification, and onboarding.
Educate providers on company processes, contractual obligations, technology and API requirements, billing expectations, and client-specific requirements.
Track provider performance indicators, including on-time performance, missed trips, complaints, FOCs, API/GPS compliance, credentialing issues, and utilization.
Conduct regular provider check-ins, review scorecards, provide coaching, and implement corrective actions.
Ensure compliance with contract requirements, manage remediation plans and escalations, and recommend suspension or termination when necessary.
Identify opportunities to expand network capacity, improve service coverage, and strengthen provider partnerships.
Research potential subcontractors in existing and emerging service areas in alignment with dispatch needs and new client contract requirements.
Improve subcontractor onboarding, including contracting and credentialing processes, to support efficiency and compliance.
Assist the Vendor Network Manager with monthly reporting on pending Medi-Cal enrollments, credentialing audits, provider metrics, and API performance, including follow-up, strategic updates, and issue resolution.
Assist with standardized provider document verification processes to support contract compliance and accurate credentialing records.
Maintain collaborative relationships with the Contracting and Credentialing Teams, company employees, transportation providers, and other stakeholders.
Collaborate with the Vendor Network Manager to develop communication strategies that establish clear expectations and support timely completion of provider requirements.
Partner with Dispatch to address network inadequacies, expand provider capacity, ensure service continuity, and coordinate contracting-related items with other departments.
Assist the Vendor Network Manager with bus pass distribution for specific clients, ensuring accuracy and efficiency.
Identify process improvement opportunities and present strategic recommendations to leadership.
Facilitate communication between providers, drivers, and company leadership.
Maintain accuracy and compliance across contracting and credentialing processes.
Mentor and guide Specialists to support professional development and consistent performance.
Take responsibility for special projects and initiatives assigned by management.
Assist with complex, high-level contracting or credentialing matters.
Perform other duties assigned by management.