Provider Network & Enrollment Specialist

Planned Systems International, Inc.; United States; Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Full-time employment

Competitive benefits package

Job summary

Planned Systems International is seeking a Provider Network Support Specialist to strengthen provider network access, capacity, enrollment, credentialing, and compliance for a federal healthcare program.

The role involves analyzing provider network data, identifying coverage gaps, supporting enrollment activities, and developing reports for program leadership. Collaboration with clinical, operational, and contractor stakeholders is essential to improve network performance.

Qualifications

• Experience analyzing provider network operations data and identifying gaps.
• Ability to translate data findings into actionable recommendations.
• Experience developing dashboards, reports, and briefing materials.

Responsibilities

• Analyze provider rosters and network data to identify gaps in coverage and credentialing status.
• Coordinate with network and clinical stakeholders to validate data and track remediation.
• Develop and maintain provider capacity analyses and leadership briefing materials.
• Review credentialing workflows and recommend improvements.
• Support provider recruitment and credentialing prioritization.

Skills

Analytical thinking

Stakeholder coordination

Documentation

Dashboard/reporting

Problem solving

Tools

MS Office

Teams

SharePoint

Job description

Planned Systems International is seeking a Provider Network Support Specialist to strengthen provider network access, capacity, enrollment, credentialing, and compliance for a federal healthcare program.

The role involves analyzing provider network data, identifying coverage gaps, supporting enrollment activities, and developing reports for program leadership. Collaboration with clinical, operational, and contractor stakeholders is essential to improve network performance.