Provider Onboarding & Network Operations Specialist

Jobtailor; Long Beach (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Jobtailor is seeking an experienced Provider Onboarding & Offboarding Manager in California to coordinate end-to-end onboarding, offboarding, and regulatory compliance across cross-functional teams. You will develop workflows, manage risks, and ensure accurate data handling throughout the provider lifecycle.

The role requires 3–5 years in provider network management or healthcare operations, with strong communication skills and proficiency in Microsoft Office and Visio.

Qualifications

• 3-5 years of experience in provider network management, healthcare operations, or implementation roles with cross-functional collaboration.
• At least 3 years’ experience in provider onboarding and direct provider engagement, including presentations and discussions on workflows and compliance.
• Solid understanding of Medicare Advantage operations and provider-facing processes.
• Bachelor's Degree or equivalent; advanced degree preferred.
• Proficiency in Microsoft Office tools (Word, Excel, Outlook, Teams, PowerPoint, Visio).

Responsibilities

• Coordinate end-to-end provider onboarding and offboarding management across cross-functional teams.
• Ensure compliant member communication and data handling during onboarding and offboarding.
• Develop, implement, and maintain standardized workflows, procedures, and timelines.
• Collaborate with Network Training and Compliance teams to meet regulatory standards.
• Monitor milestones, identify risks, and coordinate resolutions to maintain operational readiness.
• Represent Network Management in governance meetings and provide SME input on provider implementation.
• Promote CMS, DMHC, DHCS, and NCQA compliance through accurate documentation and lifecycle tracking.
• Support system modernization by capturing requirements and testing enhancements.

Skills

Provider Network Management

Project Management

Workflow Development

Data Integrity

Risk Management

Education

Bachelor's Degree or equivalent

Graduate or Advanced Degree or equivalent

Tools

Microsoft Office

Visio

Job description

Jobtailor is seeking an experienced Provider Onboarding & Offboarding Manager in California to coordinate end-to-end onboarding, offboarding, and regulatory compliance across cross-functional teams. You will develop workflows, manage risks, and ensure accurate data handling throughout the provider lifecycle.

The role requires 3–5 years in provider network management or healthcare operations, with strong communication skills and proficiency in Microsoft Office and Visio.