> Markdown version of [/jobs/ext/1416722-provider-network-specialist](https://www.wearedevelopers.com/jobs/ext/1416722-provider-network-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 Network Specialist - **Company:** Devoted Health - **Location:** United States (Remote available) - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Data Analysis, Microsoft Office, Performance Monitor, Looker Analytics - **Published:** July 24, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=538404c2af2f4162 ## About the Role This highly impactful role will analyze provider demographic information, financial data, quality reports, and special project data. A key responsibility is supporting the performance team in preparing for and executing monthly provider performance meetings, ensuring insights are actionable and aligned with performance goals. The ideal candidate brings a strong understanding of data analysis , claims payment processes, provider setup, and root cause analysis, with a clear focus on improving provider engagement. Success in this role requires the ability to work both independently and collaboratively, strong organizational discipline, and a results-driven mindset., * 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 Desired Skills and Experience * 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. ## Description Provider Performance Audits * Conduct in-depth audits across provider performance systems, including Orinoco (demographics and fee schedules), online search tools, print directories, Looker reports, and claims payment processes. Evaluate data through a performance lens to identify gaps, inefficiencies, and root causes impacting provider performance. Deliver clear, actionable insights and partner with the performance team to implement improvements that enhance overall provider effectiveness. Field Performance Support and Issue Resolution * Support Field Performance initiatives by engaging directly with providers to resolve provider-related issues. Ensure timely resolution and clear documentation. Provider Onboarding * Manage the full contract lifecycle while maintaining a focus on onboarding high-performing providers and improving overall engagement. Performance Reporting and Operational Support (JOC) * Partner with Performance Managers to prepare for monthly performance meetings by pulling data by leveraging AI-driven prompts with a strong emphasis on advanced AI tools and preparing slide decks and follow up items from previous meetings., We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for "start up costs" or "equipment"), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. 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