Provider Network Operations Specialist (Hybrid)

CareAllies, Inc.; Philadelphia (Philadelphia County); Hybrid; USD 48,000 - 86,000; Full time

Job summary

CareAllies, Inc. is seeking a Provider Network Relations professional to drive high-quality performance, HEDIS measures, and Medicare wellness attestation.

The role focuses on provider relationship management, data integrity, and operational support across the Pop Health platform and Salesforce updates. Hybrid role based in Philadelphia, requiring strong communication, analytical skills, and experience with contracting/credentialing.

Qualifications

• Bachelor's degree or 4 years of health care industry experience.
• Written and verbal communication skills to interact with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsibilities

• Oversee overall performance and HEDIS quality measures.
• Manage Medicare Annual Wellness Visit/attestation completion.
• Liaise with provider community and manage provider relationships.
• Support operations and systems (Pop Health platform, Salesforce updates) and cross-functional collaboration.
• Maintain professional provider data to back value-based care initiatives.

Skills

Written and verbal communication

Analytical skills

Initiative / self-motivation

Education

Bachelor's degree

4 years health care industry experience

Tools

Microsoft Excel

PowerPoint

Job description

CareAllies, Inc. is seeking a Provider Network Relations professional to drive high-quality performance, HEDIS measures, and Medicare wellness attestation.

The role focuses on provider relationship management, data integrity, and operational support across the Pop Health platform and Salesforce updates. Hybrid role based in Philadelphia, requiring strong communication, analytical skills, and experience with contracting/credentialing.