About the role We are seeking a detail-oriented and organized Provider Network Associate - Payor Contracting to join our team. This role is essential for managing the enrollment process and maintaining accurate provider roster information for payor and government programs. Your primary focus will be on ensuring accurate and up-to-date records, facilitating communication between internal teams and payor partners, and assisting in compliance efforts. This position is vital for optimizing our provider network and enhancing operational and financial efficiency for payor contracts. What you'll do - Facilitate the enrollment of healthcare providers in various payor and government programs, including Medicare, Medicaid, Medicare Advantage and Commercial payors. - Prepare and submit enrollment applications, ensuring all documentation is complete and compliant with payor requirements. - Track the progress of enrollment applications and follow up as necessary to ensure timely processing. - Maintain and update the provider roster for all contracted payors and government programs, ensuring accuracy and compliance with policies. - Conduct regular audits of provider data to verify completeness, including licenses, certifications, and demographic information. - Assist in onboarding and training new staff and/or providers on provider enrollment processes, compliance requirements, and best practices. - Generate reports on enrollment status and roster metrics to assist in compliance monitoring and decision-making. - Prepare for audits by maintaining organized and accurate documentation of enrollment and roster records. - Work closely with credentialing, contracting, and billing teams to gather necessary information and resolve discrepancies related to provider enrollment. - Develops and enforces best practices for provider data management, helping to standardize processes across the organization. - Provides insights through regular reporting on provider enrollment status, compliance metrics, and roster accuracy, aiding in strategic decision-making. - Act as the primary liaison for payors regarding enrollment inquiries and status updates. Communicate any changes in provider status, additions, or terminations as required. - Serve as the primary point of contact for providers regarding enrollment and roster management inquiries, providing timely and accurate information. - Identify opportunities for streamlining enrollment and roster management processes and implement best practices to enhance efficiency and accuracy. - Address issues related to provider enrollment, such as discrepancies in documentation or changes in provider status, ensuring timely resolution. - Perform other duties as assigned. Qualifications - Bachelor’s degree in Healthcare Administration, Business, or a related field preferred. - 3+ years of experience in provider enrollment, roster management, value-based and government programs. - Superior understanding of healthcare regulations, credentialing processes, and enrollment requirements for payor and government programs. - Excellent organizational skills with a strong attention to detail and accuracy - Strong verbal and written communication skills, with the ability to collaborate effectively with cross-functional teams. - ACO, MSO experience - Multi-State or National payor experience - Strong knowledge of healthcare reimbursement methodologies and value-based payment models. Benefits - Innovative, revolutionary environment - Great culture with a strong sense of mission and community - Eleven (11) Paid Holidays - Lavish PTO accrual - Advancement opportunities & professional skills training - Strong referral bonus program - And more! Compensation - We offer a competitive base salary ranging from $32 - $35/hour, depending on experience. Come join us on the journey to better and more affordable healthcare! We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.

• Design, implement, and maintain the VistA network infrastructure in support of a government IT contract • Interface and collaborate with other technical engineers and cross-functional IT teams to ensure network reliability and performance • Develop, update, and manage network diagrams and related documentation • Present network designs, changes, and status updates to the client and stakeholders in a clear and professional manner • Apply SAFe/Agile principles to plan and deliver network engineering tasks in an iterative environment • Monitor network performance, troubleshoot issues, and recommend improvements to optimize system uptime and security • Support compliance with government security and operational standards • Take on additional tasks and responsibilities as needed to support team objectives and ensure the success of the project

• Administer and maintain the VistA network infrastructure in compliance with government IT standards. • Interface with other IT team technical engineers to troubleshoot, resolve, and document network issues. • Develop, update, and maintain detailed network diagrams and associated documentation. • Present network configurations, updates, and performance reports to the client and stakeholders as required. • Support the planning and execution of network-related tasks within a SAFe/Agile environment. • Monitor network performance, ensure security compliance, and recommend improvements. • Respond promptly to network incidents and outages to ensure minimal downtime. • Take on additional tasks and responsibilities as needed to support team objectives and ensure the success of the project.

• Provide advanced support for network operations across a broad spectrum of technologies, including routing, switching, load balancing, security, DNS, Cloud, WiFi, etc • Shape and support network strategy and modernization by advising stakeholders, contributing to roadmap planning, and delivering scalable, resilient infrastructure initiatives across stores, regional offices, warehouses, and datacenters • Serve as a trusted technical advisor to stakeholders and product teams, while acting as an escalation point for complex incidents, leading root cause analysis and driving automated, repeatable remediation • Design, implement, and continuously evolve network monitoring and observability to enable proactive detection, rapid response, and data-driven decision-making • Develop actionable dashboards, intelligent alerts, and automated responses, integrating them into Incident and Change Management workflows to improve visibility and stability • Identify, design, and implement automation solutions that improve consistency, efficiency, and reliability across the network environment helping to migrate to a more automated framework.