> Markdown version of [/jobs/ext/1250318-provider-operation-specialist](https://www.wearedevelopers.com/jobs/ext/1250318-provider-operation-specialist). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Provider Operation Specialist

- **Company:** MEDICA
- **Location:** Montebello, CA, United States
- **Salary:** $54,080.0 - $62,400.0
- **Contract:** Temporary contract
- **Skills:** Microsoft Access, SQL Databases, Computer Network Operations
- **Published:** July 12, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=5fe10204fa3695b0

## About the Role

* Bachelor's degree in Business Administration, Healthcare, Organizational Management, or related experience required
 * Prior experience in managed care, provider relations, claims, contracting, or health plan operations preferred
 * Experience interacting with multiple health plans strongly preferred
 * Knowledge of managed care and provider contracting principles preferred
 * Experience using MS Access, SQL databases, or healthcare systems preferred
 * Strong communication, organizational, and problem-solving skills, * High school or equivalent (Required), * Health plan: 2 years (Preferred)
 * MS Access or SQL databases: 2 years (Preferred)
 * Provider contracts: 1 year (Preferred)

Ability to Commute:

 * Montebello, CA 90640 (Required)

## Description

* Maintain and update provider data across health plans and lines of business
 * Coordinate provider paneling operations and ensure provider listing accuracy
 * Serve as a liaison between health plans and internal departments regarding provider network updates and changes
 * Create, update, and validate provider network rosters and health plan files
 * Support provider network operations, contracting processes, and compliance initiatives
 * Conduct audits, monitor compliance, and assist with corrective action planning
 * Analyze workflows and recommend process improvements
 * Collaborate with internal teams and health plan partners to ensure timely and accurate provider information
 * Prepare reports and assist leadership with tracking provider operations metrics


## Related Videos

- [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases)
- [From Bedside Beeps to Interoperable Bytes – Getting your medical devices ready to talk the IEEE 11073 language](https://www.wearedevelopers.com/videos/771-from-bedside-beeps-to-interoperable-bytes-getting-your-medical-devices-ready-to-talk-the-ieee-11073-language)
- [Blazing Accessibility Basics](https://www.wearedevelopers.com/videos/568-blazing-accessibility-basics)
- [How to Build for Decentralized Systems](https://www.wearedevelopers.com/videos/931-how-to-build-for-decentralized-systems)
- [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1520-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases)
- [WeAreDevelopers LIVE - Gaps in CSS,  EU Accessibility Act and more!](https://www.wearedevelopers.com/videos/1314-wearedevelopers-live-gaps-in-css-eu-accessibility-act-and-more)

## Related Articles

- [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025)
- [Best Coding Boot Camps in Germany](https://www.wearedevelopers.com/magazine/237-best-coding-boot-camps-in-germany)
- [Finding Jobs in Germany](https://www.wearedevelopers.com/magazine/375-finding-jobs-in-germany)
- [Starter Kit For Job Applications For Developers](https://www.wearedevelopers.com/magazine/7-starter-kit-for-job-applications-for-developers)
- [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer)
- [Spanish Business Culture and Etiquette](https://www.wearedevelopers.com/magazine/353-spanish-business-culture-and-etiquette)