Network Management Implementation Specialist
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Job Description
Network Management Implementation Specialist managing provider onboarding and offboarding processes. Collaborating with multiple departments to ensure seamless provider experience and operational compliance at SCAN.
Responsibilities:
- Coordinate end-to-end provider onboarding and offboarding management: Project manage all cross-functional tasks and deliverables associated with the provider onboarding, ensuring seamless onboarding experiences.
- Manage provider offboarding processes to ensure smooth offboarding when a provider terminates or changes MSO affiliation by coordinating member reassignment, provider data removal, report deactivation, and compliant member communication in partnership with internal teams.
- Develop and maintain workflows and documentation to support consistent practices, operational readiness, and data integrity throughout the full provider lifecycle.
- Collaborate with Network Training and Compliance teams for all education and training needs.
- Monitor project milestones and risk management to track and analyze project deliverables, identify risks or process gaps, and coordinate timely resolutions.
Requirements:
- 3-5 years' experience in provider network management, healthcare operations, or implementation roles requiring cross-functional collaboration, process coordination, and strong communication skills.
- At least 3 years’ experience in provider onboarding and direct provider engagement, including delivering presentations and facilitating discussions on operational workflows, onboarding expectations, and compliance requirements.
- Must demonstrate a solid understanding of Medicare Advantage operations and provider-facing processes.
- Bachelor's Degree or equivalent experience required.
- Graduate or Advanced Degree or equivalent experience preferred.
- Skilled in Microsoft Office (Word, Excel, Outlook, Teams, PowerPoint, Visio).
Benefits:
- Annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
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