Provider Network Specialist

Private Health Management, Inc.; United States; Remote; USD 36,000 - 40,000; Full time

Benefits offered by this job

Health, dental, and vision benefits

401(k) with match

paid time off

PHM for PHM

other benefits

Job summary

Private Health Management, Inc. is seeking a Provider Network Specialist to expand and strengthen our network of elite healthcare providers. You will research, evaluate, and recommend top-tier providers and help evolve technology-enabled workflows for provider management and patient access.

The role works across clinical, research, and operations teams, delivering insights that improve efficiency and outcomes. Remote US-based with Pacific/Mountain hours alignment is expected.

Qualifications

• Experience researching and evaluating healthcare providers.
• Strong collaboration across clinical, research and operations teams.
• Familiarity with evaluating provider credentials and programs.
• Comfort with technology-enabled provider management workflows.
• Prior provider-facing healthcare experience preferred.
• Clinical research experience is a plus.

Responsibilities

• Build and maintain PHM’s provider database with depth and accuracy.
• Expand PHM’s provider network through research and relationship development.
• Support tech-enabled processes for provider management and patient access.
• Review provider credentials using PHM’s evaluation criteria.
• Translate provider insights into actionable recommendations for client outcomes.

Skills

Research & analysis

Collaboration

Communication

Tech-enabled workflows

Self-starter

Attention to detail

Multitasking

Provider-facing exp

Education

Healthcare degree

Tools

Provider database systems

Job description

Private Health Management guides patients and families through the chaos and complexity of serious medical care, for cancer and beyond. As an independent advocate and trusted partner during healthcare's most challenging moments, our team of experts works alongside physicians to orchestrate the best treatment, advocacy, and support to deliver measurably better outcomes. Everyone deserves great care. We make sure they get it.

About the role

As a Provider Network Specialist at PHM, you will play a critical role in expanding and strengthening the network of healthcare providers that enable our clients to access exceptional medical care. Sitting at the intersection of healthcare research, provider relationships, and technology, this role directly supports PHM’s mission to bring clarity and confidence to complex medical decisions.

You will research, evaluate, and recommend top-tier providers while helping evolve the systems and processes that support PHM’s proprietary provider intelligence. As PHM continues to scale and invest in technology-enabled workflows, you’ll contribute ideas and execution that improve efficiency, accuracy, and access across the organization.

This role is ideal for someone who is intellectually curious, highly organized, comfortable navigating complexity, and excited to use technology to improve how healthcare access works at scale.

What You’ll Accomplish

• Build and maintain PHM’s proprietary database of elite healthcare providers, ensuring depth, accuracy, and clinical relevance
• Expand PHM’s provider network through thoughtful research, evaluation, and relationship development
• Support the implementation of technology-enabled processes that streamline provider management, insurance verification, and patient access
• Conduct thorough reviews of provider credentials and healthcare programs using PHM’s gold-standard evaluation criteria
• Partner closely with clinical, research, and operations teams to translate provider insights into actionable recommendations that impact client outcomes

How You’ll Spend Your Days

• Proactively researching and identifying high-quality providers across a range of medical specialties
• Evaluating providers and programs in collaboration with clinical and research partners
• Using and improving internal tools and workflows to enhance provider data quality and operational efficiency
• Supporting cross-functional teams by ensuring provider intelligence is accessible, accurate, and actionable
• Contributing ideas and process improvements as PHM continues to evolve and scale

What you bring to the table

• Availability to work Pacific Time Zone (PST) or Mountain Time Zone (MST) business hours required
• Excellent collaboration and communication skills, with the ability to work effectively across clinical, research, and operations teams
• A solutions-oriented mindset with the ability to navigate ambiguity, solve complex problems, and continuously improve how work gets done
• A strong affinity for technology and process optimization; you’re an early adopter who looks for smarter, more scalable ways to work
• A self-starter approach with strong research and analytical skills, and the ability to synthesize information across medical specialties
• Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced, high-growth environment
• Prior provider-facing healthcare experience and/or a degree in a healthcare-related field strongly preferred
• Experience conducting or administering academic and/or clinical research strongly preferred
• Prior customer service, concierge, or client-relations experience is a plus

Compensation

The target hourly rate for this non-exempt position is $26.00–$28.85 per hour.

Individual pay may vary from the target range based on factors including market conditions, experience, location, and other relevant business considerations.

• health, dental, and vision benefits
• 401(k) with match
• paid time off
• PHM for PHM (our services for you and your dependents)
• other benefits

Location

This is a remote role requiring that you live in and physically perform all work in the United States.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Private Health Management’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

"A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

"A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

"An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

"An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.