Provider Network Solutions (PNS) is the market leader and innovator in Specialty MSO and Third-Party Administrative services, managing Governmental and Commercial lines of business to align Health Plans, Primary Care Physicians, and Specialists in a comprehensive ecosystem.

PNS optimizes the delivery of specialty healthcare, guided by advanced analytics and an NCQA Accredited UM Program while adhering to regulatory requirements and information systems security guidelines. Our Health Plan and Provider partners benefit from over 30 years of specialty risk management expertise.

PNS’s mission is to be the Premier Value-Based Specialty Ecosystem organization, which provides our Health Plan partners with a Specialty network of providers who ensure quality patient care through compassion while adhering to “Best Practice” guidelines. We strive to enhance our Specialists with greater access to patients seeking their service while maintaining complete data integrity and a robust security platform.
 
Our culture promotes an environment where individuality and diverse mindsets collaborate and inspire each other to be better. Our enthusiastic and invaluable team members are encouraged and empowered to create reliable top-drawer solutions, not only for our internal but for our external stakeholders as well.

Our core values and purpose-driven mindset fostering continuous and never-ending improvement, (C.A.N.I.) are evident and palpable throughout our organization and kept alive by our team. PNS is a company where you will be embraced by colleagues who want to see you grow in an environment that will inspire you to become the very best version of yourself.

For Career opportunities visit us at: https://www.providernetworksolutions.com/careers/ 
We are always eager to meet fresh talent. Here, at Provider Network Solutions, you’ll do more than join an organization— you’ll become part of the family. There is a place here for every kind of brilliant.

Health Care

Insurance

Software Engineering

Technology

Provider Network Solutions, LLC

Dr. Jose Pelayo

Rafael Toro

Nancy Kanaplue

The Operational Support team at Provider Network Solutions, LLC plays a critical role in ensuring the seamless delivery of services within the specialty healthcare ecosystem. This team collaborates across various functions, including utilization management, compliance, and data integrity, to streamline processes, maintain regulatory standards, and enhance the overall efficiency of operations. By leveraging advanced analytics and technology, the Operational Support team ensures that health plans and providers work cohesively to deliver high-quality patient care while continuously improving organizational performance.

Operational Support

Human Resources and Workforce Management

Leadership Team

Operational Support

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Team members

Other teams at Provider Network Solutions, LLC

Human Resources and Workforce Management

Leadership Team