The Role
Supports provider network administration by coordinating onboarding, demographic updates, credentialing and contracting workflows, roster maintenance, provider data accuracy, documentation, reporting, audits, and cross-functional operational activities. The role requires regular local travel throughout the San Jose and Santa Clara County market and involves collaboration with provider offices and internal healthcare operations teams.
Summary Generated by Built In
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 operational workflows. This role works closely with Provider Relations, Contracting, Credentialing, Provider Data Management, and Market Operations to ensure timely and accurate execution of provider network activities.
The Provider Network Specialist plays a key role in maintaining network integrity and supporting efficient provider lifecycle processes throughout the San Jose/Santa Clara County Market.
What You'll Do
Provider Network Administration
- Coordinate provider onboarding activities with internal departments.
- Monitor onboarding progress and follow up on outstanding requirements.
- Assist with provider demographic updates, additions, and terminations.
- Coordinate provider roster maintenance and network records.
Provider Data Management
- Maintain provider information within internal databases and tracking systems.
- Verify provider demographic information for completeness and accuracy.
- Assist with provider directory maintenance and reconciliation activities.
- Monitor provider documentation requirements.
Operational Coordination
- Coordinate provider contracting and credentialing workflow activities.
- Track provider implementation milestones and required documentation.
- Monitor operational work queues and assigned tasks.
- Prepare operational reports and status updates.
Cross-Functional Support
- Coordinate activities among Provider Relations, Contracting, Credentialing, PDM, Claims, and Operations.
- Support implementation of provider network initiatives.
- Assist with audit preparation and documentation requests.
Reporting & Documentation
- Maintain provider tracking reports.
- Prepare operational summaries and dashboards.
- Organize provider files and documentation.
- Perform other duties as assigned.
Qualifications
Education
- High school diploma or equivalent required.
- Equivalent healthcare experience may be substituted.
Experience:
- 2-3 years of healthcare operations, provider network operations, credentialing, contracting, provider data management, IPA, ACO, MSO, or managed care experience.
You're great for the role if:
- Experience coordinating provider operational activities.
- Associate degree preferred.
Knowledge, Skills, and Abilities
- Knowledge of provider lifecycle processes.
- Understanding of credentialing, contracting, and provider data management.
- Strong organizational skills.
- Strong attention to detail.
- Ability to manage multiple priorities.
- Microsoft Office proficiency, including Excel.
- Strong written and verbal communication skills.
- Ability to work collaboratively across departments.
- Ability to travel locally as needed.
Environmental Job Requirements and Working Conditions
- This is a hybrid position requiring work in both an office environment and provider offices throughout the San Jose / Santa Clara County Market. Regular local travel is required to support provider onboarding, operational coordination, and market activities. The role involves prolonged computer use, frequent interaction with internal stakeholders and provider offices, and occasional attendance at meetings or company events as business needs require.
- The national target pay range for this role is $85,000 - $92,500 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
About
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Skills Required
- High school diploma or equivalent
- 2-3 years of healthcare operations, provider network operations, credentialing, contracting, provider data management, IPA, ACO, MSO, or managed care experience
- Experience coordinating provider operational activities
- Knowledge of provider lifecycle processes
- Understanding of credentialing, contracting, and provider data management
- Microsoft Office proficiency, including Excel
- Strong organizational skills and attention to detail
- Ability to manage multiple priorities and collaborate across departments
- Strong written and verbal communication skills
- Ability to travel locally as needed
- Associate degree
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The Company
What We Do
Astrana Health is a physician-centric, technology-powered healthcare company that operates an integrated delivery platform. It enables providers to participate in value-based care arrangements, helping them deliver accessible, high-quality, and cost-effective care to patients. The company provides care coordination services to patients, primary care physicians, specialists, and health plans, leveraging proprietary technology to streamline operations and improve patient outcomes across local communities.
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