Provider Network Operations SME

Insight Global (United States); United States; Presencial; USD 130.000 - 170.000; Jornada completa

Descripción de la vacante

Insight Global is seeking an experienced Provider Network SME to support a large-scale healthcare business and technology transformation. You will act as the business-side expert on provider network operations, contracting, credentialing, provider relations, data, and overall lifecycle processes.

You will help teams understand current operations, answer operational questions, validate requirements, identify gaps, and ensure future-state workflows align with real provider-network operations.

Formación

• Deep knowledge of provider network operations.

Responsabilidades

• Serve as the business-side SME for provider network operations and end-to-end provider lifecycle.

Conocimientos

Provider network ops

Provider contracting

Provider relationships

Provider lifecycle

CRM transformations

Descripción del empleo

Nice to Have Skills & Experience

• Experience supporting enterprise platform or CRM transformations Contract Lifecycle Management (CLM) experience
• Provider fee schedule knowledge
• Provider network expansion or market-launch experience
• Agile or SAFe experience

Job Description

Seeking an experienced Provider Network SME to support a large-scale healthcare business and technology transformation. This individual will serve as the business-side subject matter expert, bringing deep knowledge of provider network operations, network contracting, provider relationship management, and the end-to-end provider lifecycle.

This is a business-side Provider Network SME supporting a large healthcare transformation. The client has hired Salesforce PMs, BAs, and implementation resources, but many don't have deep provider-network experience. You'll be the go-to expert for provider contracting, onboarding, credentialing, provider relations, provider data, and overall provider lifecycle processes. Your job is to help teams understand how the business operates today, answer operational questions, validate requirements, identify process gaps, and ensure future-state workflows align with real provider-network operations.