DevotedHiring

Provider Network Specialist

  • USD 65,000 to 85,000 per year
  • Remote, United States
  • Mid-level
  • Posted 5 days ago
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In one line

Provider Network Specialist is a mid-level remote role in the United States at a healthcare insurance company.

About the role

Remote with about 10 to 15 percent travel to offices. The work feeds monthly performance meetings, so findings need to be clear and usable by the performance team.

At a glance

Pay
USD 65,000 to 85,000 per year
Remote scope
Remote, United States
Seniority
Mid-level
Skills
Medicare Advantage, Claims research, Root cause analysis, Process improvement, Looker, MS Suite
Posted
24 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Audit provider demographics, fee schedules, directories and claims payment data to find gaps and root causes
  • Turn findings into clear recommendations and work with the performance team on fixes
  • Handle provider issues raised in the field, see them through and document the outcome
  • Manage the contract lifecycle with an eye on onboarding strong providers and keeping them engaged
  • Pull data with AI tools and build slide decks for monthly performance reviews

What they look for

  • At least 3 years in healthcare, ideally Medicare Advantage or similar
  • 5 years working directly with providers
  • Fluent with Google or Microsoft Workspace apps
  • Able to juggle competing priorities and handle ambiguity

A typical week

  • Auditing provider systems and claims data
  • Preparing materials and follow-ups for performance meetings
  • Talking with providers to resolve open issues
  • Coordinating with performance managers on next steps

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Claude

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Muse

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Muse is available in the US only for now.

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How to connect

Questions about this job

Can I do this job remotely, and from which countries?

Yes. The posting lists Provider Network Specialist as a remote role for candidates in the United States.

What does this job pay?

The posting states USD 65,000 to 85,000 per year.

What experience is needed?

It is a mid-level role. The posting asks for: at least 3 years in healthcare, ideally Medicare Advantage or similar; 5 years working directly with providers; fluent with Google or Microsoft Workspace apps. Skills it names include Medicare Advantage, Claims research, Root cause analysis, Process improvement.

How do I apply with Keywordise AI?

Press the Apply with Keywordise AI button and add your CV. Keywordise tailors your CV and cover letter to this posting and sends the application for you, with a free 7-day trial and no card.

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