XO Health Inc. is hiring a
Network Development Coordinator in Worldwide

Summary

The Network Development Coordinator at XO Health is responsible for implementing the organization's provider network strategy by collecting market intelligence, preparing contracts, responding to provider inquiries, and ensuring compliance with regulatory requirements. They will collaborate with internal teams, support annual reports and filings, and have a Bachelor’s degree or equivalent experience and 4 years of experience in network development or provider contracting.

Requirements

• Bachelor’s degree or equivalent experience preferred
• A minimum of four (4) years of experience in network development or provider contracting role

Responsibilities

• Conduct market analysis and provider outreach to identify and catalog potential provider targets and relevant data elements
• Work closely with contract negotiators to build provider agreements in the contract management system in accordance with defined parameters
• Complete quality checks on executed provider contracts in the contract management system prior to releasing provider contract data to downstream systems
• Ensure the accurate and timely implementation of provider contracts, paying special attention to meeting NCQA, HEDIS, Federal, State, and other regulatory requirements
• Conduct network analysis to ensure compliance with network adequacy standards
• Respond to and/or triage provider inquiries related to network participation, enrollment procedures, demographic updates, and overall provider participation requirements
• Support the organization on timely provider feedback loops between multiple internal teams
• Collaborate with internal teams to streamline network operations, resolve provider-related issues, optimize network efficiency and effectiveness, and ensure alignment and coordination in network-related initiatives

Benefits

Full compensation packages are based on candidate experience and relevant certifications. $70,000 — $80,000 USD