Network Ops Coordinator II (Healthcare)

Location: Hybrid role based out of Philadelphia, Pennsylvania; 80% of the time is spent in the field meeting with providers. The posting also lists Houston, Texas.

Base pay: $41,700–$92,800 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global is a health insurance organization supporting provider networks, membership operations, and value-based care initiatives.

What you will do

• Manage HEDIS quality measures and Medicare Annual Wellness Visit and attestation completion.
• Build relationships with the provider community and support provider engagement.
• Maintain professional provider data and promote initiatives that improve data integrity.
• Use population health, provider operations, and sales systems to support network activities.
• Research provider performance, engagement, data, and network participation issues.
• Participate in provider meetings and cross-functional work groups with internal and external stakeholders.

Requirements

• Bachelor’s degree or four years of experience in the healthcare industry.
• At least two years of experience with provider network contracting and credentialing systems.
• Strong written and verbal communication skills for interaction with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative, work independently, and solve problems.
• Ability to work in a hybrid, field-based role centered in Philadelphia, with frequent provider visits.

Nice to have

• Subject matter expertise in professional provider network relations, including claims service issues, contracting, and finance.
• Experience with population health management applications.
• Experience with Microsoft Office, including Excel VLOOKUPs, pivot tables, and PowerPoint.

Culture & Benefits

• Curated development plans and professional growth opportunities.
• Health and wellness benefits, including medical-related coverage and disability insurance.
• 401(k) savings plan, pension plan, and paid time off.
• Paid parental leave, paid holidays, employee assistance, and tuition reimbursement.
• Additional incentives and an annual bonus opportunity.