Provider Network Support

Planned Systems International

. Analyze provider rosters and network data to identify gaps in specialty coverage, geographic access, appointment capacity, and credentialing status .

Posted 10/6/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider network operations, including enrollment and credentialing processes, while effectively analyzing operational data to drive actionable improvements. Proficient in developing reports and dashboards to support stakeholder communication and decision-making.

Highest-signal resume keywords

Provider Network OperationsCredentialingData AnalysisDashboard DevelopmentStakeholder Coordination

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

Provider EnrollmentOperational Data AnalysisProcess DocumentationQuality ReviewCompliance Management

Soft Skills

Organizational SkillsProblem-SolvingWritten Communication

Tools & Technologies

MS OfficeExcelPowerPointOutlookTeamsSharePoint

Industry Keywords

Healthcare OperationsManaged CareCredentialing WorkflowsSOP DevelopmentPrivacy Compliance

About the role

Key responsibilities & impact

Analyze provider rosters and network data to identify gaps in specialty coverage, geographic access, appointment capacity, and credentialing status
Coordinate with network and clinical stakeholders to validate data and track remediation activities
Develop and maintain provider capacity analyses, enrollment dashboards, status reports, and leadership briefing materials
Review provider enrollment and credentialing workflows, metrics, delays, and compliance concerns and recommend practical improvements
Support provider recruitment, communications, training, and credentialing prioritization activities
Provide consultative support for network-related escalations and help identify qualified providers for member care needs
Support single case agreements and letters of agreement through established review and approval processes
Conduct quality reviews and audits of provider files and network processes, document findings, and track corrective actions
Develop or update SOPs, process maps, training materials, templates, and other knowledge-management resources
Participate in program meetings, document decisions and action items, and coordinate follow-up with responsible stakeholders
Safeguard member, provider, and program information in accordance with applicable privacy, security, and records-management requirements

Requirements

What you’ll need

Experience supporting provider network operations, provider enrollment, credentialing, healthcare operations, managed care, or a related function
Demonstrated ability to analyze operational data, identify gaps or trends, and translate findings into actionable recommendations
Experience developing dashboards, reports, process documentation, or briefing materials
Strong organizational, analytical, problem-solving, written communication, and stakeholder-coordination skills
Ability to manage recurring deliverables, maintain accurate documentation, and track issues through resolution
Ability to handle sensitive healthcare and provider information appropriately
Proficiency with MS Office, including Word, Excel, PowerPoint, and Outlook
Experience with communication tools, including Teams and SharePoint

Benefits

Comp & perks

Paid leave
Employer-sponsored group medical insurance options
Dental insurance options
Vision insurance options
Short-term disability insurance
Long-term disability insurance
Life insurance
AD&D coverage
Legal services
Identity theft insurance
Accident insurance
Flexible spending account options
Health savings account options
Employer contribution match through the company-sponsored 401(k) retirement plan, immediately vested
Professional courses
Certifications
Tuition reimbursement programs