Network Ops Coordinator II

CareAllies

. Manage overall performance and HEDIS quality measures .

Posted 10/6/2026full-timePhiladelphia • Pennsylvania • United StatesJuniorMid-Level💰 $47,500 - $86,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing provider relationships and HEDIS quality measures while utilizing Population Health Management applications. Strong analytical skills and the ability to work independently are essential for supporting value-based care initiatives and maintaining data integrity.

Highest-signal resume keywords

Provider Network ContractingPopulation Health ManagementHEDIS Quality MeasuresAnalytical SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider Credentialing SystemsData Integrity ManagementProblem-SolvingSalesforceMicrosoft ExcelMicrosoft PowerPoint

Soft Skills

InitiativeCollaborationRelationship Building

Tools & Technologies

Population Health PlatformsSalesforceMicrosoft Office

Industry Keywords

Health Care IndustryValue-Based CareProvider RelationsClaims Service Issues

About the role

Key responsibilities & impact

Manage overall performance and HEDIS quality measures
Support Medicare Annual Wellness Visit and Attestation completion
Manage provider relationships and promote high-quality initiatives
Operate population health platforms and update Salesforce
Collaborate with internal and external stakeholders
Maintain professional provider data to support value-based care initiatives, membership, and network operations
Build relationships with the provider community
Promote initiatives supporting data integrity
Lead specialized operational and provider support duties requiring independent initiative and problem-solving
Participate in internal provider meetings and work groups
Research problems related to provider performance, engagement, data, and network participation
Spend approximately 80% of time in the field meeting with providers

Requirements

What you’ll need

Bachelor degree OR 4 years of experience in the Health Care industry
2 years of experience with Provider Network contracting and credentialing systems
Written and verbal communication skills to interact with internal and external customers
Analytical and quantitative skills
Ability to take initiative and work independently
Experience with Population Health Management applications and Microsoft Office Tools including Excel (VLOOKUPS, pivot tables) and Power Point (preferred)
Subject Matter Expert in Professional Provider Network Relations (claims service issues, contracting, and finance) (preferred)

Benefits

Comp & perks

Curated development plans that foster growth and promote rewarding, fulfilling careers
Health and wellness benefits
401(k) savings plan
Pension plan
Minimum of 15 days of paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan subject to the terms and conditions of the plan