• Auditing functions: provider set up in Orinoco (demographic and fee schedules), online search tool, print directory, Periscope reports, claims payment. • Determine root cause of issues and recommend process improvements. • Provide clear analysis and next steps for network team. • Analysis of network grievances, determination of track and trend or provider outreach, complete outreach as needed, prepare monthly reporting. • Contracting to support network adequacy in existing and expansion counties. • Contract processing, to include: obtaining contract signatures, preparing provider rosters, submitting contract load form. • Assistance with Field Network cases, outreach to providers, documentation of resolution. • Evaluate participation requests against network need, current contractual relationships, expansion efforts, access to care. • Make recommendations to management. • Contract as needed. • Respond accordingly to providers. • Assist network managers with monthly JOC meeting preparations, research outliers in financial reports, audit reports for accuracy, assist with follow up items from meetings.