Provider Network Management Specialist - Remote

Overview

The Provider Network Management Specialist is responsible for ensuring provider availability, readiness, and performance in support of Telemedica’s care delivery model. This role is instrumental in coordinating provider operations, case assignments, supporting credentialing and compliance tracking, and aligning provider resources with service demand.

In Short

• Maintain updated provider schedules, licensing, specialties, and availability in internal systems
• Assign and route case assignments to appropriate providers based on availability and clinical match
• Track provider performance, case load, and completion timelines
• Support initial and ongoing provider onboarding logistics
• Partner with QA and Healthcare Coordinators to optimize provider utilization
• Track provider-specific performance trends, including KPIs, productivity metrics, quality scores, and utilization patterns
• Establish workflows and manage provider licensure and credentialing
• Identify opportunities to expand or diversify the provider network
• Create tools, dashboards, or documentation to improve internal network visibility

Requirements

• 3+ years in provider operations, clinical scheduling, or healthcare staffing
• Experience in a medical, telehealth, or care delivery setting
• Strong understanding of the VA disability claims process
• Demonstrated healthcare acumen and deep understanding of medical terminology
• Experience managing diverse clinical provider workflows
• Strong organizational and tracking skills with a systems-based mindset
• Expertise in licensing, credentialing, and healthcare compliance standards
• Familiarity with CRM/EHR platforms and provider-facing operations

Benefits

• PPO and HSA healthcare plans
• 401(k) with up to 3% employer match
• Health Savings Account (HSA) and Flexible Spending Accounts (FSA)
• 30 Days Paid Time Off (PTO), plus 12 paid holidays
• Short and Long-Term Disability, Life Insurance
• Paid Parental Leave, Military Leave, and Bereavement Leave
• Employee discounts, Jury Duty Pay, Time-Off to Vote, and more