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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Provider Network Specialist - **Company:** Astrana Health - **Location:** El Monte, CA, United States - **Experience:** Experienced - **Salary:** $70,304.0 - $80,000.0 - **Contract:** Permanent contract - **Skills:** Access Network, Data Analysis, Computer Networks, System Configuration, Healthcare Effectiveness Data and Information Set, Network Configuration and Change Management, Network Planning and Design, Computer Network Operations - **Published:** June 18, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=4bb9436a36215f6a ## About the Role Do you have experience in Customer communication?, Do you have a Bachelor's degree?, * Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience) * At least 3 years of experience in provider network operations, managed care, credentialing, or healthcare administration * Experience working with provider data, healthcare systems, and operational workflows * Strong attention to detail and organizational skills You're great for the role if: * Experience in California managed care or IPA environments * Familiarity with CMS and DMHC requirements related to provider networks and directories * Experience supporting network expansion or provider onboarding initiatives ## Description The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider lifecycle activities, supporting network performance initiatives, and serving as a key operational liaison between providers and internal departments. The Provider Network Specialist plays a critical role in ensuring provider data accuracy, network access, compliance, and provider satisfaction while supporting membership growth and quality outcomes., * Support provider onboarding, terminations, and updates in coordination with Contracting, Credentialing, and Network Operations * Maintain accurate provider demographic, specialty, and participation data across internal systems and health plan files * Assist with network configuration, provider assignments, and panel management activities * Monitor onboarding timelines and follow up on outstanding requirements Provider Support & Issue Resolution * Serve as a point of contact for provider operational questions related to network participation, assignments, and system setup * Research and resolve provider issues related to data accuracy, claims routing, eligibility, and access * Escalate complex or systemic issues to the Sr. Manager, Provider Network as appropriate Network Performance & Access Support * Assist in monitoring network adequacy, access standards, and provider coverage requirements * Support initiatives to improve member access, reduce provider friction, and enhance network stability * Support implementation of network changes driven by growth initiatives, acquisitions, or health plan requirements Provider Performance & Quality Support * Support provider performance related to quality measures, utilization, and value-based care initiatives * Collaborate with Quality, Medical Management, and Analytics teams to reinforce quality programs, incentive alignment, and performance improvement efforts * Assist in driving improvement in key metrics such as HEDIS, STARS, utilization management, and member experience Compliance & Regulatory Support * Ensure provider data and network activities comply with applicable federal, state, and health plan requirements (CMS, DMHC, DHS) * Support provider directory accuracy efforts and regulatory audits * Assist with documentation, reporting, and corrective action support related to delegated functions Cross-Functional Collaboration * Work closely with Provider Relations, Contracting, Credentialing, Claims, Quality, Medical Management, and Customer Service teams * Ensure timely and accurate communication across departments to support provider and member experience * Support standardized workflows, policies, and best operational practices Reporting & Administrative Support * Assist with preparation of network reports, dashboards, and performance metrics * Track and follow up on provider-related action items and operational deliverables * Maintain documentation and records to support operational and audit readiness * Other duties as assigned ## Related Videos - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Small, Secure, Interconnected: The next Internet Protocol](https://www.wearedevelopers.com/videos/100062-small-secure-interconnected-the-next-internet-protocol) - [Distributed search under the hood](https://www.wearedevelopers.com/videos/256-distributed-search-under-the-hood) - [Cyber Sleuth: Finding Hidden Connections in Cyber Data](https://www.wearedevelopers.com/videos/893-cyber-sleuth-finding-hidden-connections-in-cyber-data) - [Data Science on Software Data](https://www.wearedevelopers.com/videos/162-data-science-on-software-data) - [Trends, Challenges and Best Practices for AI at the Edge](https://www.wearedevelopers.com/videos/630-trends-challenges-and-best-practices-for-ai-at-the-edge) ## Related Articles - [Everything a Developer Needs to Know About MCP with Neo4j](https://www.wearedevelopers.com/magazine/604-everything-a-developer-needs-to-know-about-mcp-with-neo4j) - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [From Prototype to Production: Build AI Agents with This Free 4-Course Learning Path](https://www.wearedevelopers.com/magazine/655-from-prototype-to-production-build-ai-agents-with-this-free-4-course-learning-path) - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [How to land a developer job in Amsterdam](https://www.wearedevelopers.com/magazine/36-how-to-land-a-developer-job-in-amsterdam) - [Top 6 Hackathons for Developers in 2023](https://www.wearedevelopers.com/magazine/263-top-6-hackathons-for-developers-in-2023)