Network Management Coordinator

About the role

The Network Management Coordinator is responsible for handling operational requests related to network administration, ensuring compliance with internal processes and regulatory requirements while supporting overall service quality.

Key responsibilities

• Receives, documents, and routes operational requests related to network administration from internal and external sources.
• Monitors request progress using internal systems to ensure timely responses, traceability, and regulatory compliance.
• Manages communications with providers and internal teams, routing inquiries and reporting potential risks.
• Prepares and maintains administrative documents such as letters of agreement, reports, credentialing files, exclusion lists, and contracts in accordance with policies and regulations.
• Coordinates meetings, agendas, minutes, and operational activities with providers and internal resources.
• Organizes physical and digital records to support audits, inspections, and internal inquiries.
• Consolidates and reports operational metrics and compliance alerts to support decision‑making.

Required profile

• Bachelor’s degree in Secretarial Science, Office Systems, Business Administration, or equivalent education (Associate’s degree with 60‑64 credits or High School Diploma with relevant experience).
• At least six months to two years of experience in provider services, network administration, or coordination, preferably within the healthcare insurance industry.
• Intermediate proficiency in both Spanish and English (comprehensive, writing and verbal).

Required skills

• Proficiency with Customer Relationship Management (CRM) systems.
• Experience using SAI 360 platform.
• Familiarity with Credentialing Digital Platform and related regulatory databases (e.g., National Practitioner Data Bank, Puerto Rico Medical Licensing Board).