Provider Network Specialist
Core
Research, evaluate, and recommend top-tier healthcare providers to expand and strengthen PHM's proprietary provider network for cancer and serious medical care clients.
Role type
Provider Network Specialist
Builds
Proprietary database of elite healthcare providers and technology-enabled workflows for provider management
Domain
Healthcare / Provider Intelligence
Required skills
Research and analytical skills, Provider credential evaluation, Process optimization, Cross-functional collaboration, Data quality management, Healthcare program review
Preferred skills
Healthcare-related degree, Academic or clinical research experience, Customer service or client relations experience
Technologies
Internal provider management tools, Workflow automation systems
Responsibilities
Proactively research and identify high-quality providers across medical specialties, Evaluate providers and programs using gold-standard criteria, Use and improve internal tools to enhance provider data quality, Partner with clinical and research teams to translate insights into recommendations, Support cross-functional teams in ensuring provider intelligence is actionable, Contribute ideas for process improvements to scale operations