Provider Network Specialist

Devoted Health • Washington, DC

2d • $65,000 - $85,000 • Remote

About The Position

The Provider Network Specialist analyzes provider demographic information, financial data, quality reports, and special-project data to support provider performance and engagement. The role supports the Performance team in preparing for and conducting monthly provider performance meetings, making sure insights are actionable and aligned with performance goals. It also involves auditing provider performance systems and data, resolving provider issues, managing the provider contract lifecycle, and supporting reporting and operational work. This is a remote role for candidates who reside in Washington or Oregon, with 10%–15% travel to offices potentially required.

Requirements

• At least 3 years of healthcare experience, preferably in Medicare Advantage or a similar environment.
• 5 years of direct provider interaction experience.
• Demonstrated ability to manage detailed, performance-driven work.
• Proficiency in Google Workspace or Microsoft Office applications.
• Experience with claims research, provider setup, root cause analysis, and process improvement focused on provider engagement.
• Strong written and oral communication skills.

Nice To Haves

• Organized and detail-oriented.
• Ability to manage competing priorities and ambiguity effectively.
• Ability to gather, read, analyze, and interpret complex data and create accurate, meaningful data reports.
• Ability to facilitate meetings and present to groups of management and staff.

Responsibilities

• Audit provider performance systems and data, including Orinoco demographics and fee schedules, online search tools, print directories, Looker reports, and claims payment processes.
• Analyze data to identify performance gaps, inefficiencies, and root causes; provide actionable insights and partner with the Performance team on improvements.
• Engage directly with providers to resolve provider-related issues, ensuring timely resolution and clear documentation.
• Manage the full provider contract lifecycle, with a focus on onboarding high-performing providers and improving provider engagement.
• Partner with Performance Managers to prepare for monthly performance meetings by gathering data using AI-driven prompts, preparing slide decks, and handling follow-up items from previous meetings.

Benefits

• Employer-sponsored health, dental, and vision plans with low or no premiums.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for roles below Director level; commission eligibility for Sales roles.
• Parental leave program.
• 401K program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed