Network Operations Coordinator 4

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Network Operations Coordinator 4 based in United States.

This role supports the effective administration and maintenance of provider network operations across health plans.
You will manage critical provider data, including demographics, rates, contracts, and related operational information.
The position also coordinates provider audits, credentialing activities, service and relationship processes, and contract management systems.
You’ll help identify and address provider service issues while ensuring work is completed accurately and on schedule.
The role offers significant ownership, with opportunities to coordinate administrative teams and external vendors.
Success requires strong organization, analytical ability, attention to detail, and confidence working independently.
This is a remote opportunity within a collaborative, deadline-driven healthcare environment.

• Manage provider data across health plans, including demographics, reimbursement rates, contract intent, and other key information.

• Coordinate provider audits, service and relationship activities, credentialing processes, and contract management systems.

• Manage intake and resolution processes for perceived provider service failures, ensuring issues are tracked and addressed appropriately.

• Establish and manage daily priorities for administrative work groups and external vendors, coordinating activities and monitoring progress against schedules and goals.

• Serve as the primary administrative owner for assigned processes, programs, products, or technologies.

• Oversee the work of others when required, ensuring deliverables meet quality, accuracy, and timeline expectations.

• Use data analysis to identify trends, support operational decisions, and improve provider network processes.

• Apply sound judgment and work with minimal supervision while operating within established guidelines and procedures.

Requirements

• At least 2 years of experience working in a healthcare environment involving providers, payors, healthcare facilities, or related organizations.

• Demonstrated data analytics experience, with the ability to review information, identify trends, and support operational decision-making.

• Intermediate Microsoft Office skills, including strong proficiency with Excel.

• Ability to manage multiple priorities simultaneously and consistently meet deadlines in a fast-paced environment.

• Strong organizational skills, attention to detail, and ability to work independently with limited oversight.

• Experience with provider credentialing is preferred.

• Previous experience working with healthcare claims is preferred.

• Experience reviewing, loading, interpreting, or managing provider contracts is preferred.

• Strong communication and coordination skills, particularly when working with internal teams, providers, and external partners.

Benefits

• Annual salary range of $53,100–$72,500, depending on location, skills, experience, education, and other job-related factors.

• Full-time schedule of 40 hours per week.

• Remote work opportunity available nationwide in the United States.

• Medical, dental, and vision insurance options.

• 401(k) retirement savings plan.

• Paid time off, company holidays, and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance and additional well-being and employee support programs.

• Dedicated home workspace required, with minimum internet speeds of 25 Mbps download and 10 Mbps upload.

• Occasional travel to company offices may be required for training or meetings.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

#LI-CL1