Network Management Specialist

Location: Remote, Austin, TX
Department: Support Operations
Reports to: Director, Support Operations
Type: Full-time, Exempt

The Network Specialist serves as the centralized owner of Enable Dental’s specialist network operations across all programs and markets. This role manages specialist sourcing, referral operations, provider onboarding, and ongoing relationships with external specialist providers. The Network Specialist also provides operational oversight of internal specialists onboarded by Enable Dental, in partnership with the applicable regional and clinical leaders.

Through consistent tracking, communication, and follow-through, this role maintains visibility across the specialist network, addresses coverage gaps, keeps referrals moving toward completion, supports successful provider relationships, and helps ensure the external specialist network is used responsibly.

• Network development: Track specialist coverage needs by market, program and specialty, prioritize gaps, research qualified practices, and complete outbound calls, emails, and follow-up.
• Provider screening: Confirm core participation requirements such as Medicare and Medi-Cal/Denti-Cal enrollment, accessibility, service area, required capabilities, and willingness to serve Seniors and Adults with Special Needs.
• Recruitment pipeline: Maintain accurate provider records, outreach history, current stage, owner, next action, and follow-up date in the approved system of record.
• Contracting and credentialing coordination: Collect required information, coordinate NDA and fee schedule steps, complete clean handoffs, and maintain visibility through contracting and credentialing without making approval or negotiation decisions.
• Referral operations: Maintain standardized referral processes and tracking across all programs and markets. Monitor referral volume, turnaround time, completion, aging, cost concerns, and unresolved exceptions to ensure referrals continue moving and issues are escalated appropriately. 
• Provider onboarding: Coordinate onboarding readiness, including credentialing status, referral workflow education, portal access and training, billing setup confirmation, communication expectations, and required clinical training.
• Internal specialist operations: Provide operational oversight of internal specialists, including onboarding coordination, referral activity, workflow adherence, provider concerns, and ongoing network needs in partnership with regional and clinical leadership.
• Provider relationship management: Serve as the primary operational contact for specialist practices after onboarding, complete periodic check-ins, address workflow questions, and coordinate internal follow-through on provider concerns.
• Provider payment support: Coordinate provider-facing follow-up regarding invoicing or payment concerns and track internal resolution with Accounts Payable without taking ownership of invoice validation, processing, or payment.
• Network health: Monitor provider activity, referral acceptance, response time, workflow adherence, inactivity, and relationship risks; support re-engagement, corrective action, or offboarding when needed.
• Reporting, systems, and process improvement: Maintain current network rosters, report coverage and pipeline health, identify stalled work or recurring barriers, and help evaluate and implement a centralized tracking solution that supports the full specialist lifecycle.
• Cross-functional coordination: Partner closely with Clinical Operations, the Clinical Excellence Committee, Contracting, Credentialing, Billing, Account Management/Client Engagement, Market Directors, Clinical Team Managers, Referral Specialists, and PACE program teams to maintain clear ownership and prevent gaps or duplicate work.

• Two or more years of experience in healthcare operations, provider relations, network development, referral coordination, provider recruitment, sales, credentialing support, or a related field.
• Strong organization and follow-through, with the ability to manage multiple providers, markets, priorities, and deadlines at the same time.
• Clear and professional written and verbal communication skills, including comfort with outbound provider outreach and relationship-based follow-up.
• Demonstrated ability to build relationships, communicate value, and influence prospective providers through outreach and recruitment. 
• Experience maintaining accurate records in a CRM, workflow platform, or complex operational tracker.
• Ability to coordinate work across multiple teams while keeping status, ownership, next steps, and escalation needs visible.
• Strong judgment and attention to detail, including the ability to recognize missing information, stalled work, recurring barriers, and operational risk.
• Ability to work independently within established guidelines and escalate clinical, contracting, credentialing, or fee decisions to the appropriate owner.
• Ability to handle sensitive healthcare and business information and follow established privacy and compliance requirements.

• Experience with PACE, Medicare, Medi-Cal/Denti-Cal, dental services, or internal or external specialist networks.
• Experience supporting provider contracting, credentialing, onboarding, or referral workflows.
• Experience using a CRM, healthcare referral platform, provider portal, or similar system. 
• Experience tracking provider utilization, network coverage, referral performance, or operational KPIs.
• Experience working with providers who serve Seniors and Adults with Special Needs.

KPIs You’ll Own

Priority network gaps with current activity and next steps • Time to first outreach • Outreach response and qualified prospect rates • Recruitment pipeline accuracy and overdue follow-ups • Contracting, credentialing, and onboarding status visibility • Referral aging, acceptance, completion, and cost concerns • Active provider utilization and inactivity • Internal specialist operational visibility • Provider issue and payment-concern follow-through • Provider relationship health

Full-time, remote position. Standard business hours 8am - 5pm CST with flexibility based on provider availability, program needs, and occasional meetings across time zones.
Reliable, high-speed internet access. Occasional travel based on business needs.

Salary: $70k-80k base (no bonus) based on experience.