Position Type: Full Time Category: Business Development & Sales
Location: Dallas, TX Schedule: Full-time hybrid role Reports to: Director of Network Operations
Competitive pay Comprehensive health, dental, and vision coverage Supplemental benefits (life insurance, disability, accident, etc.) 401(k) with company match Generous paid time off (Vacation/Sick/Holiday) Career growth and advancement opportunities A company culture committed to diversity, equity, inclusion, and provider partnership Many more perks and benefits
The Network Operations Specialist is responsible for managing the provider experience, supporting network operations, and strengthening relationships with contracted and prospective providers. This hybrid role is provider-facing and includes onboarding, education, performance monitoring, site visits, and issue resolution. The Specialist negotiates agreements, supports contracting workflows, and collaborates with internal departments to optimize provider satisfaction and overall health plan efficiency. This role plays a key part in ensuring network adequacy, operational consistency, and high-quality provider engagement across ProCare Advantage.
Qualifications Preferred Education: College degree or equivalent work experience (25 years) Required Experience: Minimum 2 years of experience in Provider Relations, Contracting, or Healthcare network operations Strong oral, written, interpersonal, analytical, and negotiation skills Ability to use PC software, reporting tools, and multiple systems Ability to work autonomously and manage multiple priorities Ability to travel 2050%
Essential Functions Serve as the primary point of contact for provider experience and overall delivery Conduct New Provider Orientations for newly onboarded providers Submit Single Case Agreements when applicable Capture, document, and distribute market intelligence to support strategic initiatives Collect, analyze, interpret, and translate provider information, reports, and dashboards Track and monitor provider performance metrics Deliver presentations to existing and prospective providers and partners Complete scheduled site visits and audits to ensure compliance and satisfaction Work with internal teams to resolve provider issues or complaints Act as a liaison between departments to ensure seamless provider support Review facility profiles and preferred provider lists to assess network participation Provide provider education on portal access, payment systems, claim status, and network participation Oversee contracting inbox requests, vet inquiries, and route items to appropriate team members Support contracting workflows and provider engagement strategies Maintain accurate documentation and communication related to provider interactions
Provider Relations Advocate (24223) • Addison, TX, United States
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