Provider Network Operations & Data Specialist

Astrana Health, Inc.; El Monte (CA); Hybrid; USD 70,304 - 80,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Astrana Health, Inc. is looking for a Provider Network Specialist based in El Monte, CA. This full-time role involves the operational management of the provider network across the Los Angeles market, focusing on provider lifecycle activities and ensuring data accuracy and compliance.

The ideal candidate will have a Bachelor's degree and at least 3 years of relevant experience. The role includes responsibilities such as onboarding providers, monitoring network standards, and supporting initiatives for membership growth and quality outcomes.

Qualifications

• At least 3 years of experience in provider network operations or healthcare administration.
• Experience working with provider data and operational workflows.
• Familiarity with CMS and DMHC requirements.

Responsibilities

• Support provider onboarding, terminations, and updates.
• Maintain accurate provider demographic data.
• Serve as a point of contact for provider operational questions.
• Assist in monitoring network adequacy and access standards.

Skills

Provider network operations

Healthcare administration

Attention to detail

Organizational skills

Education

Bachelor's degree in Healthcare Administration or related field

Job description

Astrana Health, Inc. is looking for a Provider Network Specialist based in El Monte, CA. This full-time role involves the operational management of the provider network across the Los Angeles market, focusing on provider lifecycle activities and ensuring data accuracy and compliance.

The ideal candidate will have a Bachelor's degree and at least 3 years of relevant experience. The role includes responsibilities such as onboarding providers, monitoring network standards, and supporting initiatives for membership growth and quality outcomes.