Provider Network Specialist

Primary Roles and Responsibilities

• Support provider contracting activities through the preparation, processing, execution, and maintenance of provider agreements and amendments.
• Draft, distribute, track, and maintain provider contracts and related documentation in accordance with organizational policies and procedures.
• Manage contracting workflows and contract status within designated systems to ensure visibility, accountability, and timely completion.
• Monitor contracting activities, identify bottlenecks or outstanding items, and coordinate follow-up to support execution timelines.
• Maintain accurate contract records, reports, and supporting documentation to meet operational, regulatory, and audit readiness requirements.
• Support provider onboarding activities through contract-related outreach, document collection, and data validation.
• Support network development and market expansion initiatives through the coordination and execution of contracting activities.
• Participate in special projects and other duties as assigned.

Qualifications

• Associate degree in Business, Healthcare Administration, or a related field preferred; equivalent combination of education and relevant experience will be considered.
• Minimum of 1-3 years of experience in healthcare administration, provider contracting, provider relations, credentialing, network operations, or a related field.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Proficiency in Microsoft Office Suite, including Excel, Word, and Outlook.
• Experience working with databases, tracking systems, or workflow management tools.
• Ability to analyze information, identify issues, and follow through on resolution.
• Strong attention to detail and commitment to accuracy.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively in a team environment.

Preferred Skills

• Experience within a managed care, health plan, provider group, or healthcare services environment.
• Familiarity with provider contracting, credentialing, provider onboarding, or network operations.
• Experience using Salesforce, Asana, or similar workflow management systems.

Additional Notes

• Must possess valid driver's license.
• Must be willing to travel within the service area at least 25% of the time.