Network Management Specialist

Location: Albuquerque, NM 87113, United States

Salary: $45,655–$68,485 per year, plus potential short-term incentives and benefits.

Company

hirify.global provides health-related services and manages provider networks, credentialing, compliance, and quality requirements.

What you will do

• Support the development and maintenance of physician, practitioner, group, facility, MPPS, and organizational provider networks.
• Assess network needs, analyze network composition, and recruit providers to meet network adequacy and quality standards.
• Coordinate provider contracting, contract amendments, education, relations, and issue resolution.
• Conduct administrative provider site visits and coordinate reports required by contracts or specific requests.
• Coordinate credentialing-status activities and appropriate responses to quality-of-care issues and provider complaints.
• Manage provider compliance audits and develop work plans to address audit requirements and policy changes.

Requirements

• At least 1 year of experience in a related position or field.
• Knowledge of National Committee for Quality Assurance requirements.
• Ability to work independently and prioritize activities.
• Intermediate knowledge of Microsoft Office Suite, especially Excel.
• Strong presentation skills using PowerPoint.
• GED or high school education required; a bachelor's degree is preferred.

Culture & Benefits

• Full-time employment with a comprehensive benefits package.
• Potential eligibility for short-term incentive compensation.
• Health, life, voluntary, and other benefits supporting physical, mental, emotional, and financial wellbeing.
• Tobacco-free workplace and equal opportunity employment.
• Responsibility for complying with applicable security, legal, regulatory, contractual, and internal policy requirements.