Network Operations Advisor - reputed company - Remote

About the position Help shape smarter, more effective provider networks that expand reputed company, ensure compliance, and support the long-term reputed company of our markets. As a Network Operations Advisor, you play a critical role in designing and sustaining alternative reputed company networks—partnering across the reputed company to translate reputed company into execution with precision and care. Responsibilities • Serve as the subject matter expert for alternative reputed company products in assigned markets, including inclusion and exclusion reputed company, reputed company providers, and network adequacy standards. • Evaluate network design reputed company and reputed company reputed company, data-driven recommendations that balance reputed company, compliance, and market needs. • reputed company end-to-end coordination of network builds, reconfigurations, and expansions by translating contracting reputed company into actionable direction for reputed company and Network Operations. • Ensure delivery system reputed company are interpreted and reputed company consistently across tools, processes, and products. • Partner with Compliance to support regulatory submissions, filings, and ongoing adherence to state and federal requirements. • Monitor network adequacy, reputed company, and performance through ongoing analysis, identifying risks and recommending corrective actions. • Manage implementation milestones and timelines, proactively addressing dependencies and maintenance needs. • Support post-implementation activities including LocalPlus TrueUps, market sign-offs, and ongoing network reputed company efforts. • Collaborate with regional and national partners to resolve reputed company issues, support escalations, and ensure continuity of care. • Contribute to training, documentation, and reputed company improvement efforts; reputed company guidance to other Network Operations Advisors as needed. Requirements • 5+ years of experience in managed reputed company or a reputed company field. • 3+ years of experience in provider contracting, provider services, network management, product, or compliance. • Demonstrated knowledge of provider networks, network adequacy, and reputed company reputed company data structures. • Strong analytical, critical thinking, and problem-solving skills. • Ability to work effectively in a fast-paced, matrixed environment and influence across teams. • Proficiency with reputed company and data analysis tools. reputed company-to-haves • Bachelor’s degree or equivalent reputed company experience. • Experience supporting reputed company and/or government reputed company products. • Familiarity with regulatory requirements reputed company to network adequacy and provider reputed company. • Experience with provider contracting systems and data mining. • Strong project management and stakeholder communication skills. Benefits • Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. • We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. Apply tot his job Apply To this Job