Network Management Implementation Specialist

Job Description

The Network Management Implementation Specialist will be responsible for coordinating end-to-end provider onboarding and offboarding management, including project management of cross-functional tasks and deliverables. Key responsibilities include: * Managing provider offboarding processes to ensure smooth transitions. * Developing and maintaining standardized workflows and documentation. * Ensuring operational handoffs across departments and adherence to timelines. * Collaborating with Network Training and Compliance teams. * Monitoring project milestones and managing risks. * Serving as a subject matter expert and liaison in cross-functional meetings. * Ensuring regulatory and audit readiness. * Facilitating provider communications and education. * Driving continuous process improvement. * Supporting system modernization and integration efforts.

Qualifications

1. 3-5 years' experience in provider network management, healthcare operations, or implementation roles requiring cross-functional collaboration, process coordination, and strong communication skills. 2. At least 3 years’ experience in provider onboarding and direct provider engagement, including delivering presentations and facilitating discussions on operational workflows, onboarding expectations, and compliance requirements. 3. Must demonstrate a solid understanding of Medicare Advantage operations and provider-facing processes. 4. Bachelor's Degree or equivalent experience required. 5. Graduate or Advanced Degree or equivalent experience preferred. 6. Skilled in Microsoft Office (Word, Excel, Outlook, Teams, PowerPoint, Visio).

Benefits

- Internal title: Network Mgmt Spec Sr - Work Mode: Remote - An annual employee bonus program - Robust Wellness Program - Generous paid-time-off (PTO) - Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday - Excellent 401(k) Retirement Saving Plan with employer match and contribution - Robust employee recognition program - Tuition reimbursement - An opportunity to become part of a team that makes a difference to our members and our community every day!