Provider Network Specialist

Private Health Management

5d•$55,000 - $60,000•Remote

About The Position

Private Health Management (PHM) guides patients and families through complex serious medical care as an independent advocate and partner, working alongside physicians to coordinate treatment, advocacy, and support. The Provider Network Specialist helps expand and strengthen PHM’s network of healthcare providers so clients can access exceptional care. The role combines healthcare research, provider relationships, and technology, and contributes to PHM’s provider intelligence and technology-enabled workflows. The specialist researches, evaluates, and recommends providers; maintains accurate and clinically relevant provider information; reviews provider credentials and healthcare programs; and collaborates with clinical, research, and operations teams. The role also supports process and technology improvements that enhance provider management, insurance verification, and patient access. This is a remote position requiring the employee to live and perform all work in the United States, and to be available during Pacific or Mountain Time business hours.

Requirements

Availability to work Pacific Time Zone or Mountain Time Zone business hours.
Excellent collaboration and communication skills to work across clinical, research, and operations teams.
Solutions-oriented mindset and ability to navigate ambiguity, solve complex problems, and continuously improve work processes.
Strong affinity for technology and process optimization, including willingness to adopt technology and seek scalable ways of working.
Self-starter approach with strong research and analytical skills and ability to synthesize information across medical specialties.
Exceptional attention to detail and organizational skills, including ability to manage multiple priorities in a fast-paced, high-growth environment.

Nice To Haves

Prior provider-facing healthcare experience and/or a degree in a healthcare-related field.
Experience conducting or administering academic and/or clinical research.
Prior customer service, concierge, or client-relations experience.

Responsibilities

Build and maintain PHM’s proprietary database of elite healthcare providers, ensuring its depth, accuracy, and clinical relevance.
Expand PHM’s provider network through research, evaluation, and relationship development.
Support technology-enabled processes for provider management, insurance verification, and patient access.
Review provider credentials and healthcare programs using PHM’s evaluation criteria.
Collaborate with clinical, research, and operations teams to turn provider insights into actionable recommendations.
Research and identify high-quality providers across medical specialties.
Evaluate providers and programs with clinical and research partners.
Use and improve internal tools and workflows to enhance provider data quality and operational efficiency.
Ensure provider intelligence is accessible, accurate, and actionable for cross-functional teams.
Contribute ideas and process improvements as PHM evolves and scales.