Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Network Specialist

$26 - $28.85 per hour

Private Health Management

Provider Network Specialist

Remote

Private Health Management guides patients and families through the chaos and complexity of serious medical care, for cancer and beyond. As an independent advocate and trusted partner during healthcare's most challenging moments, our team of experts works alongside physicians to orchestrate the best treatment, advocacy, and support to deliver measurably better outcomes. Everyone deserves great care. We make sure they get it.

About the role

As a Provider Network Specialist at PHM, you will play a critical role in expanding and strengthening the network of healthcare providers that enable our clients to access exceptional medical care. Sitting at the intersection of healthcare research, provider relationships, and technology, this role directly supports PHM's mission to bring clarity and confidence to complex medical decisions.

You will research, evaluate, and recommend top-tier providers while helping evolve the systems and processes that support PHM's proprietary provider intelligence. As PHM continues to scale and invest in technology-enabled workflows, you'll contribute ideas and execution that improve efficiency, accuracy, and access across the organization.

This role is ideal for someone who is intellectually curious, highly organized, comfortable navigating complexity, and excited to use technology to improve how healthcare access works at scale.

What You'll Accomplish
  • Build and maintain PHM's proprietary database of elite healthcare providers, ensuring depth, accuracy, and clinical relevance
  • Expand PHM's provider network through thoughtful research, evaluation, and relationship development
  • Support the implementation of technology-enabled processes that streamline provider management, insurance verification, and patient access
  • Conduct thorough reviews of provider credentials and healthcare programs using PHM's gold-standard evaluation criteria
  • Partner closely with clinical, research, and operations teams to translate provider insights into actionable recommendations that impact client outcomes
How You'll Spend Your Days
  • Proactively researching and identifying high-quality providers across a range of medical specialties
  • Evaluating providers and programs in collaboration with clinical and research partners
  • Using and improving internal tools and workflows to enhance provider data quality and operational efficiency
  • Supporting cross-functional teams by ensuring provider intelligence is accessible, accurate, and actionable
  • Contributing ideas and process improvements as PHM continues to evolve and scale
What You Bring to the Table
  • Availability to work Pacific Time Zone (PST) or Mountain Time Zone (MST) business hours required
  • Excellent collaboration and communication skills, with the ability to work effectively across clinical, research, and operations teams
  • A solutions-oriented mindset with the ability to navigate ambiguity, solve complex problems, and continuously improve how work gets done
  • A strong affinity for technology and process optimization; you're an early adopter who looks for smarter, more scalable ways to work
  • A self-starter approach with strong research and analytical skills, and the ability to synthesize information across medical specialties
  • Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced, high-growth environment
  • Prior provider-facing healthcare experience and/or a degree in a healthcare-related field strongly preferred
  • Experience conducting or administering academic and/or clinical research strongly preferred
  • Prior customer service, concierge, or client-relations experience is a plus
Compensation

The target hourly rate for this non-exempt position is $26.00–$28.85 per hour. This hourly rate is only one part of a total compensation package that also includes health, dental, and vision benefits; 401(k) with match; paid time off; PHM for PHM (our services for you and your dependents); and other benefits. Individual pay may vary from the target range based on factors including market conditions, experience, location, and other relevant business considerations.

Anticipated Pay Range $55,000 - $60,000 USD

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Provider Network Specialist in United States vacancy
  •  ...bite (or a cup of coffee), work out or get a check-up - we invest in you so you can find your inspiration.Your ImpactThe PROvider Network Specialist is primarily responsible for completing specific activities in support of maintaining the health and accuracy of Lowe's PROvider... 
    Suggested
    Full time
    For contractors
    Work at office
    Local area

    Lowe's

    Mooresville, NC
    4 days ago
  •  ...Provider Network Specialist The Provider Network Specialist provides support to complete activities associated with credentialing of providers and collection of quality of service information for the Department of Children and Families (DCF) fee for service provider... 
    Suggested
    Work experience placement
    Work at office

    Advanced Behavioral Health, Inc.

    Middletown, CT
    3 days ago
  •  ...fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions...  ...on recruiting medical offices for our expanding national networks. The ideal candidate will be responsible for building and maintaining... 
    Suggested
    Flexible hours

    NationsBenefits

    Plantation, FL
    13 hours ago
  •  ...To support the expansion of a healthcare provider network, the full-time remote Provider Network Specialist will research, evaluate, and recommend top-tier providers while enhancing systems and processes for provider management and patient access. Key responsibilities... 
    Suggested
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    4 days ago
  • $48.32k - $82.39k

     ...Position Purpose: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the...  ...and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution... 
    Suggested
    Hourly pay
    Full time
    Contract work
    Part time
    Live in
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Florida
    4 days ago
  • $70k - $75k

     ...Job Description Job Description JOB SUMMARY The Provider Network Specialist is responsible for developing and maintaining positive working relationships with healthcare providers, ensuring provider satisfaction, resolving issues, and supporting network performance... 
    Contract work
    Work at office
    Immediate start
    Remote work
    Monday to Friday

    US Family Health Plan @ SVCMC, Inc.

    New York, NY
    12 days ago
  •  ...Job Description Job Description This is one position split between 2 departments: The Provider Network Specialist provides support to complete activities associated with credentialing of providers under several contracts and collection of quality of service information... 
    Contract work
    Work experience placement
    Work at office
    Shift work

    Advanced Behavioral Health, Inc

    Middletown, CT
    20 days ago
  •  ...This role focuses on recruiting medical offices for our expanding national networks. The ideal candidate will be responsible for building and maintaining strong relationships with providers while managing the recruitment process from initial contact to onboarding and... 
    Full time

    NationsBenefits, LLC

    Plantation, FL
    a month ago
  • Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network, for assuring that the network meets URAC and DoD standards, and that there is compliance with all elements of the TRICARE Management... 
    Minimum wage
    Contract work
    Local area
    Shift work

    Providence Health & Services

    Renton, WA
    1 day ago
  •  ...Job Description Job Description Description: The Provider Network & Contract Management Specialist is responsible for maintaining, updating, and ensuring the integrity of provider and contract-related data within the health plan administration system. This role supports... 
    Contract work
    Temporary work
    Summer work
    Work at office
    Flexible hours

    Cobalt Benefits Group LLC

    South Burlington, VT
    10 days ago
  • $87.19k - $114.43k

     ...Job Description Job Description Hi, we're Oscar. We're hiring a Provider Network Associate to join our Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We... 
    Full time
    Remote work
    Work from home
    Home office

    Oscar Health

    Orlando, FL
    4 days ago
  • $85k - $92.5k

     ...Job Description Job Description Description The Provider Network Specialist supports the operational administration of the provider network by coordinating provider onboarding, demographic maintenance, network documentation, provider data accuracy, and cross-functional... 
    Work at office
    Local area

    Astrana Health, Inc.

    San Jose, CA
    12 days ago
  • $120k

    Position Overview:The role of the Network Reliability Specialist is to ensure the stability and integrity of all aspects that comprise the Squarepoint...  ...centers, regional offices, and various cloud service providers. These aspects include and are not limited to the... 
    Work at office

    SQUAREPOINT CAPITAL

    New York, NY
    2 days ago
  • $76.79k

     ...Information Technology (UW-IT) has an outstanding opportunity for Network Specialist to join their team.About this OpportunityReporting to a...  ...services for voice, data, and video. This position also provides support for infrastructure design and coordination with various... 
    Full time
    Temporary work
    Part time
    Work at office
    Shift work
    Weekend work

    University of Washington

    Seattle, WA
    4 days ago
  • Charleston Job TypeFull-timeDescriptionNexGen Data Systems is seeking a Network Specialists to provide daily on-site network operations support at assigned MTF location, ensuring network infrastructure availability, resolving Tier 0 incidents, and serving as primary... 
    Temporary work
    Local area
    Visa sponsorship

    NexGen Data Systems

    Charleston, SC
    2 days ago
  •  ...per CR prioritization and release planning. Modify Datacenter Network configurations through Change Management in co-ordination with...  ...fix, code change and enhancements to Level 3Accept, Analyze and provide solutions to incidents escalated by NOC teamEscalate problems to... 
    Full time
    Remote work
    Night shift

    Sonsoft

    Plano, TX
    2 days ago
  • $102k - $178.4k

    We are seeking a Network Specialist to support secure network and system operations across commercial and classified environments. In addition...  ..., this role will serve as the Alternate COMSEC Custodian, providing continuity for COMSEC accountability and operations. 10037... 
    Flexible hours

    KForce

    Arlington, VA
    4 days ago
  • $120k

    Position Overview:The role of the Ultra Low Latency Network Specialist is to ensure the stability and integrity of all aspects that comprise...  ...(DC)Ensure comprehensive operational control and reporting, providing actionable information to optimize the performance of the... 

    SQUAREPOINT CAPITAL

    New York, NY
    2 days ago
  • $120k

     ...Squarepoint is looking for a highly skilled and detail-oriented Network Core Specialist to architect, develop, optimize and secure scalable...  ...business requirements into technical network architectures.Provide details and professional documentation, including diagrams.... 
    Work at office

    SQUAREPOINT CAPITAL

    New York, NY
    2 days ago
  • $95.56k

     ...of the UW's IT infrastructure, resources, and services. UW-IT provides critical technology support to all three campuses, UW Medicine,...  ...to enable innovation, learning, discovery, and service. The Network Engineer is an advanced, non-supervisory engineering role that... 
    Full time
    Temporary work
    Work at office
    Remote work
    Shift work
    Night shift
    Weekend work
    Day shift

    University of Washington

    United States
    2 days ago
  •  ...ITD Network SpecialistPosition Information: Seeking a dynamic professional with hands-on experience overseeing activities associated...  ...Perks At TxDOT, we value work-life balance and are committed to providing our employees with a comprehensive range of benefits and programs... 
    Full time
    Part time
    Work experience placement
    Local area
    Flexible hours
    Shift work
    Day shift

    Texas Department of Transportation

    Austin, TX
    1 day ago
  •  ...Network Specialist - Permitting CoordinatorAt TDS Telecom, connecting people is at the heart of everything we do. We are forward thinkers...  ...development. To learn more, click here.Who is TDS Telecom?TDS Telecom provides high-speed internet, TV entertainment, and phone services to... 
    Temporary work
    For contractors
    Work experience placement
    Casual work
    Work at office
    Local area
    Remote work

    TDS Telecom

    Boise, ID
    15 hours ago
  •  ...for overseas tax incentives. What You Will Do: Direct responsibility for both classified and unclassified range networks. Provide tier II level troubleshooting of network systems. Maintain network configuration baselines to adhere to policy, accreditation... 
    Work experience placement
    Overseas
    Weekend work

    RGNext

    Huntsville, AL
    2 days ago
  •  ...We Are: Managed Health Care Associates, Inc. (MHA), provides care communities with access, solutions, and insights to...  ...Finishers. Who we’re looking for: The Specialist, Reimbursement Network serves as a subject matter expert for the LTC Network and... 
    Contract work
    Temporary work
    Work at office
    Remote work

    MHA Company

    United States
    2 days ago
  • $85k - $95k

     ...Network SpecialistQuantum Sky is searching for a Network Specialist to support our NE&S contract in Aviano, Italy. The Network Specialist ensures that the Department...  ...(DoD) Defense Health Agency (DHA) LAN/WAN provides all required services, by supporting the network... 
    Contract work

    Tyto Athene, LLC

    Buffalo, NY
    1 day ago
  • $104.24k - $156.36k

     ...Network Technical Specialist 3M.C. Dean is Building Intelligence. We design, build, operate, and maintain cyber-physical solutions for the nation...  ...engineers to simulate expected system level performance and provide quick feedback on potential improvementAssist senior... 
    Local area
    Flexible hours

    M.C. Dean, Inc.

    Washington DC
    2 days ago
  •  ...Network Specialist - Outside Plant ConstructionAt TDS Telecom, connecting people is at the heart of everything we do. We are forward thinkers...  ...and splicing operations in multiple locations and states. Provide technical support for special request projects such as major... 
    Contract work
    Temporary work
    For contractors

    TDS Telecom

    Utah
    3 days ago
  •  ...install, maintain, test, and troubleshoot secure voice and data networks. This role focuses on COMSEC operations, telecom systems,...  ...customers and team members, follow DoD and industry standards, and may provide after-hours support. A valid driver's license is required and... 

    Vets Hired

    Albuquerque, NM
    1 day ago
  • $69.57k - $91.83k

     ...the Benefits of Working at HHS webpage. Functional Title: Network Specialist V Job Title: Network Specialist V Agency: Health &...  ...incidents and manages problem calls and service requests. (15%) Provides technical advice and assistance to business units and... 
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Remote work
    Shift work

    Texas Health & Human Services Commission

    Remote
    14 days ago
  • $87.36k - $106.08k

     ...with the ultimate goal of enabling human life on Mars. GROUND NETWORK SPECIALIST (STARLINK) SpaceX is designing, building, and deploying...  ...in an engineering field (e.g. telecom, internet service provider, etc.) PREFERRED SKILLS AND EXPERIENCE: Strong... 
    Permanent employment
    Full time
    Temporary work
    Monday to Friday

    SpaceX

    Washington DC
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Network Specialist. Be the first to apply!