Experienced Remote Provider Network Specialist – Healthcare Navigation and Provider Relations Expert

Introduction to Private Health Management Private Health Management (PHM) is a pioneering healthcare navigation firm that specializes in providing clients with access to the best care and outcomes when facing complex medical conditions. As a clinically sophisticated organization, we rely on the latest science-backed insights to guide our clients towards informed health decisions. Our mission is to ensure that everyone has access to the best diagnostics, specialists, and treatments, and that they receive independent guidance to make confident decisions about their health. At PHM, we believe that everyone deserves the best possible care, and we are committed to making this a reality. Our team of experts works tirelessly to stay at the forefront of medical advancements, and we are dedicated to providing our clients with personalized support and guidance every step of the way. As a leader in the healthcare navigation industry, we are constantly seeking innovative ways to improve our services and expand our network of top-tier healthcare providers. About the Role of Provider Network Specialist As a Provider Network Specialist at PHM, you will play a critical role in identifying and recommending top healthcare providers for our clients' clinical needs. You will work closely with care teams across various service lines to ensure that our clients receive the best possible care. Your expertise will be instrumental in nurturing relationships with healthcare providers, guaranteeing top-notch care delivery, and driving the evolution of the PHM Provider Network through innovative technology enhancements. This is an exciting opportunity to join a dynamic team of professionals who are passionate about delivering exceptional healthcare navigation services. As a Provider Network Specialist, you will be responsible for conducting thorough reviews of provider credentials, leveraging your medical knowledge and our tools to ensure that our clients receive the best possible care. You will also be involved in brainstorming and implementing innovative technologies to boost efficiency and streamline workflows. Key Responsibilities Spearhead the identification of top-tier healthcare providers and institutions to match our clients' needs, utilizing your expertise and our proprietary database to inform your decisions. Drive the evolution of the PHM Provider Network and our processes through innovative technology enhancements, ensuring seamless integration and efficiency. Conduct thorough reviews of provider credentials, leveraging your medical knowledge and our tools against PHM's gold standard to ensure that our clients receive the best possible care. Proactively expand and refine the PHM proprietary database of elite providers, harnessing research and identification strategies to stay ahead of the curve. Implement technology-powered processes to streamline insurance verification and enhance patient access, ensuring that our clients receive timely and effective care. Collaborate with research and clinical teams to assess providers and healthcare programs for comprehensive evaluation, providing expert insights and recommendations to inform our services. Essential Qualifications To be successful in this role, you will need to possess a dynamic and solution-oriented approach to problem-solving, with a proven ability to adapt to change and drive complex challenges through innovative technology and process enhancements. You will need to be a self-starter with robust research and problem-solving skills, and a strong understanding of diverse medical specialties to translate business requirements into comprehensive system specifications. In addition to these skills, you will need to possess a collaborative mindset, complemented by outstanding interpersonal, written, and verbal communication abilities. You will need to be able to work effectively in a team environment, with a strong attention to detail, organizational competence, and adeptness at managing multiple priorities within a dynamic, high-growth environment. Preferred Qualifications While not essential, we prefer candidates with provider-facing healthcare experience and/or degrees in healthcare-related fields. You will need to be able to work Pacific Time Zone business hours and be located in one of the states where we currently have business operations (AZ, CA, CO, FL, GA, IL, IN, MA, NJ, NC, NM, NY, OH, OR, PA, SC, TN, TX, UT, WA). Skills and Competencies To excel in this role, you will need to possess a range of skills and competencies, including: Strong medical knowledge and understanding of diverse medical specialties. Excellent research and problem-solving skills, with the ability to analyze complex data and inform business decisions. Outstanding communication and interpersonal skills, with the ability to work effectively in a team environment. Strong attention to detail, organizational competence, and adeptness at managing multiple priorities. Ability to adapt to change and drive complex challenges through innovative technology and process enhancements. Strong understanding of healthcare navigation and provider relations, with the ability to leverage this expertise to inform our services. Career Growth Opportunities and Learning Benefits At PHM, we are committed to providing our employees with opportunities for growth and development. As a Provider Network Specialist, you will have access to a range of training and development programs, including: Comprehensive onboarding program to ensure a smooth transition into the role. Ongoing training and development opportunities to enhance your skills and knowledge. Access to industry-leading conferences and events to stay up-to-date with the latest developments in healthcare navigation. Opportunities for career advancement and professional growth within the organization. Work Environment and Company Culture At PHM, we pride ourselves on our dynamic and supportive work environment. As a remote company, we are committed to providing our employees with the flexibility and autonomy to work effectively from anywhere. Our company culture is built on a foundation of: Collaboration and teamwork, with a strong emphasis on communication and mutual respect. Innovation and creativity, with a focus on leveraging technology and process enhancements to drive business success. Continuous learning and development, with a commitment to providing our employees with opportunities for growth and advancement. Employee well-being and satisfaction, with a range of benefits and perks to support our employees' physical and mental health. Compensation, Perks, and Benefits As a Provider Network Specialist at PHM, you will be eligible for a competitive salary range of $50,000-$57,000 per year, depending on experience and qualifications. In addition to your base salary, you will also be eligible for a range of benefits, including: Health, dental, and vision benefits to support your physical and mental health. 401(k) with match to support your long-term financial goals. PTO and other benefits to support your work-life balance. Opportunities for career advancement and professional growth within the organization. Conclusion If you are a motivated and experienced healthcare professional looking for a new challenge, we encourage you to apply for the Provider Network Specialist role at PHM. This is a fantastic opportunity to join a dynamic team of professionals who are passionate about delivering exceptional healthcare navigation services. With a competitive salary range, comprehensive benefits package, and opportunities for career advancement, this is a role that is not to be missed. So why wait? Apply today to join our team of dedicated professionals and take the first step towards a rewarding and challenging career in healthcare navigation. We look forward to hearing from you and exploring how you can contribute to our mission of delivering exceptional healthcare navigation services to our clients. Apply for this job