Network Management Specialist AdventHealth PHSO Resources

All the benefits and perks you need for you and your family:

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Monday- Friday

Location: Remote

The role youll contribute:

The Network Management Specialist is responsible for assisting in the administration of the AdventHealth value-based provider network management in support of provider contracting, provider credentialing, and provider data management. The position provides support for all aspects of the Network Management teams. The Network Management Specialist works with senior business operations teammates and key stakeholders across AdventHealth's supported provider networks and corporate departments to ensure the integrity, security, availability, effectiveness, and efficiency of data. The Network Management Specialist reports through their respective team manager and is under the oversight of the executive director to fulfill the mission and goals of AdventHealth's Population Health Services Organization (PHSO). This role actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all. In this role, the Network Management Specialist will assist with audits, processing of provider leads, oversight of the credentialing process, execution of provider contracts, and maintenance of provider network data. The Network Management Specialist plays an active role in data management, ensuring that data standards are adhered to, and downstream systems are updated accurately and timely.

The value youll bring to the team:

Responsible for all aspects of data management related to PHSO provider contracts and network data. This includes securing fully executed contracts, coordinating with the primary health division workflow to ensure copies are sent to providers, filing the original paper copy, scanning/filing the electronic copy in the electronic warehouse for contracts, and uploading documents into affiliated payers/plans portals as required.

Coordinates and files fully executed contracts through the provider processing workflows including credentialing and configuration setup, as needed.

Monitors current contracts to ensure that contracts and agreements expiration issues are avoided prior to their termination dates.

Identifies process improvements for contracting, credentialing, and data operations to ensure efficient and effective processes and workflows.

Communicate with customers and stakeholders via inbound and outbound calls and/or emails in a timely manner.

The expertise and experience youll need to succeed :

Minimum qualifications:

Associate in Business/Healthcare related field or 3 years of relevant experience

Preferred qualifications:

Bachelor's in Business/Healthcare or related field

1 year Related Experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Physician Services

Organization: AdventHealth PHSO Resources

Schedule: Full-time

Shift: 1 - Day

Req ID: 25025973

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.