Provider Network Specialist

Devoted Health

. Analyze provider demographic information, financial data, quality reports, and special project data .

Posted 10/23/2026full-timeRemote • United StatesMid-LevelSenior💰 $65,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing healthcare provider performance data, managing provider relationships, and facilitating performance meetings. Proficient in claims research and process improvement, with strong communication and organizational skills.

Highest-signal resume keywords

Healthcare ExperienceProvider InteractionClaims ResearchData AnalysisProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisRoot Cause AnalysisPerformance ManagementClaims ResearchProvider Setup

Soft Skills

Strong Communication SkillsOrganizedDetail OrientedAbility to Manage Competing PrioritiesFacilitation Skills

Tools & Technologies

Google WorkspaceMS SuiteOrinocoLooker

Industry Keywords

Medicare AdvantageProvider EngagementPerformance MeetingsContract Lifecycle Management

About the role

Key responsibilities & impact

Analyze provider demographic information, financial data, quality reports, and special project data
Support the performance team in preparing for and executing monthly provider performance meetings
Conduct in-depth audits across provider performance systems, including Orinoco, online search tools, print directories, Looker reports, and claims payment processes
Evaluate data to identify gaps, inefficiencies, and root causes impacting provider performance
Deliver actionable insights and partner with the performance team to implement improvements
Engage directly with providers to resolve provider-related issues and ensure timely resolution and documentation
Manage the full contract lifecycle
Support onboarding high-performing providers and improve overall engagement
Partner with Performance Managers to prepare for monthly performance meetings
Pull data using AI-driven prompts and advanced AI tools
Prepare slide decks and follow-up items from previous meetings

Requirements

What you’ll need

Must be located in Washington or Oregon
A minimum of 3 years of healthcare experience, preferably in Medicare Advantage or similar environments
5 years of direct provider interaction experience
Demonstrated ability to manage detailed, performance-driven work
Proficiency in Google or MS Suite Workspace applications
Experience in claims research, provider setup, root cause analysis, and process improvement with a focus on provider engagement
Strong written and oral communication skills
Organized and detail oriented
Ability to effectively manage competing priorities and ambiguity is essential
Ability to gather, read, analyze, and interpret complex data and create accurate meaningful information for data reporting
Ability to facilitate meetings and make presentations before groups of management and staff

Benefits

Comp & perks

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above
Commission eligibility for Sales roles
Parental leave program
401K program