Seen Health · 18 hours ago
Provider Network Operations Specialist
Alhambra, California
Full-time
Onsite
Mid, Senior Level
$70K/yr - $140K/yr
2+ years expSeen Health is a technology-enabled healthcare organization focused on delivering senior care through the PACE model. The Provider Network Operations Specialist will manage provider network operations, ensuring readiness and reliability, onboarding new providers, and resolving issues to facilitate high-quality care for seniors.
Health CareMedical
Responsibilities
Own Network Readiness & Reliability: Ensure contracted providers are operationally “ready” and remove friction that prevents participants from accessing care
Unblock Access in Priority or New Service Areas: Surface and prioritize network gaps by service line and geography; drive activation of new providers and services through outreach, onboarding coordination, and internal/MSO collaboration
Execute Routine Contracting & Amendments: Manage standard contracting workflows end-to-end
Build Rate Benchmarking (v1): Conduct market rate research and maintain a lightweight internal benchmarking library to support consistent pricing decisions and negotiations
Provider Onboarding & Operational Setup: Guide providers through onboarding steps including documentation collection, credentialing processes (as applicable), roster submission, systems setup, and go-live coordination; ensure smooth handoffs to clinical teams
Provider Relations & Issue Resolution: Serve as a primary point of contact for providers and office/facility staff, triaging and resolving inquiries related to participation requirements, onboarding status, contract terms, roster/directory accuracy, operational workflows, and payment. Partner closely with internal stakeholders and MSO counterparts to route issues to the right owners, coordinate timely resolution, and ensure consistent communication back to providers
Site Visits, Orientation & Training: Conduct provider office/facility visits as needed; deliver new provider orientation and ongoing training to reinforce expectations, processes, and participant experience standards
Coordinate Cross-Functional Issue Resolution: Partner with internal teams to resolve complex issues end-to-end; ensure clear ownership, timelines, and closure
Track, Trend, and Codify: Document and track provider inquiries and network issues through resolution, analyze themes and root causes, and translate repeat solutions into clear SOPs, templates, and playbooks that reduce future friction. Partner with cross-functional teams to socialize and train on new workflows, then monitor adoption and effectiveness over time and iterate based on feedback and outcomes
Maintain Accurate Network Data: Keep provider contact lists, rosters, and key documentation up to date, ensuring high data integrity across internal systems and any external reporting needs
Support Market Expansion: Execute locally in Los Angeles / San Gabriel Valley while helping adapt network operations as Seen Health expands its catchment area
Qualification
Required
2-7 years of experience in healthcare, managed care, or provider operations; experience in provider relations, provider network operations, provider contracting support, and/or provider credentialing/onboarding is strongly preferred
Comfortable using AI tools to streamline repetitive work and improve speed/quality with strong judgment and professionalism
Proficient in Excel/Google Sheets and common productivity tools; CRM experience is a plus
Able to work independently to focus on the right needs, with strong agency and minimal oversight
Preferred
Fluency in Mandarin or Cantonese Chinese is a plus
Benefits
Medical, Dental, and Vision benefits for you and your family
Life Insurance and Disability Benefits
Parental and Caregiver Leave
Lunch on days at the center, as well as delicious snacks and coffee to keep you energized
Paid Time Off across holidays, vacation time, personal days, and sick days
401k Plan
Personal and professional development, including CME support and career growth opportunities
Subscriptions and training on using AI tools
Company
Seen Health
Tech-enabled Healthcare Services
11-50 employees
Funding
Current Stage
Early StageTotal Funding
$22MKey Investors
8VC
2024-11-18Series A· $22M
Leadership Team
Yang Su
Co-Founder
Recent News
Modern Healthcare
2024-12-24
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2024-12-03
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