Provider Network Specialist

Job Description:

• Build and maintain PHM’s proprietary database of elite healthcare providers, ensuring depth, accuracy, and clinical relevance
• Expand PHM’s provider network through thoughtful research, evaluation, and relationship development
• Support the implementation of technology-enabled processes that streamline provider management, insurance verification, and patient access
• Conduct thorough reviews of provider credentials and healthcare programs using PHM’s gold-standard evaluation criteria
• Partner closely with clinical, research, and operations teams to translate provider insights into actionable recommendations that impact client outcomes
• Proactively researching and identifying high-quality providers across a range of medical specialties
• Evaluating providers and programs in collaboration with clinical and research partners
• Using and improving internal tools and workflows to enhance provider data quality and operational efficiency
• Supporting cross-functional teams by ensuring provider intelligence is accessible, accurate, and actionable
• Contributing ideas and process improvements as PHM continues to evolve and scale

Requirements:

• A solutions-oriented mindset with the ability to navigate ambiguity, solve complex problems, and continuously improve how work gets done
• A strong affinity for technology and process optimization; you’re an early adopter who looks for smarter, more scalable ways to work
• A self-starter approach with strong research and analytical skills, and the ability to synthesize information across medical specialties
• Excellent collaboration and communication skills, with the ability to work effectively across clinical, research, and operations teams
• Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced, high-growth environment
• Prior provider-facing healthcare experience and/or a degree in a healthcare-related field strongly preferred
• Experience conducting or administering academic and/or clinical research strongly preferred

Benefits:

• health, dental, and vision benefits
• 401(k) with match
• paid time off
• PHM for PHM (our services for you and your dependents)