Coordinator Provider Network

Amerihealth Caritas • Southfield, MI

3d • Hybrid

About The Position

The Coordinator, Provider Network Operations supports the Provider Network Operations team in managing Plan operational functions and activities. The role coordinates administrative activities and provider network data processes, including provider AGID assignments and submissions, roster updates, and panel transfers. This is a hybrid position, and the associate must be located in Michigan. Hybrid associates must have access to reliable high-speed internet with minimum bandwidth of 50 Mbps download and 5 Mbps upload to support daily responsibilities.

Requirements

• 1–3 years of experience.
• Proficiency in Microsoft Office products.
• Superior organizational skills.
• Critical thinking skills.
• Strong customer service skills.
• Excellent written and verbal communication skills.
• Track record of customer excellence.
• Demonstrated ability to coordinate activities across functional areas.
• Sound personal management skills to plan, organize, schedule, and complete individual work and work coordinated with others.
• Reliable high-speed internet access with at least 50 Mbps download and 5 Mbps upload.

Nice To Haves

• Associate’s degree or equivalent combination of education and work experience in a health care field.
• Previous experience in claims, provider data, health care, managed care, or the insurance industry.
• Billing and coding experience or knowledge.

Responsibilities

• Coordinate and facilitate administrative activities, including meetings and development of materials such as policies and procedures, desk procedures, and workflows.
• Perform provider AGID assignments and submissions to EO.
• Analyze and manage provider rosters, including additions, changes, and terminations, and submit updates to EO.
• Coordinate and submit panel transfers.
• Perform other related duties and projects as assigned.

Benefits

• Flexible work solutions, including remote options and hybrid work schedules.
• Competitive pay.
• Paid time off, including holidays and volunteer events.
• Health insurance coverage for the associate and dependents beginning on Day 1.
• 401(k).
• Tuition reimbursement.
• Reimbursement for internet service may be available to fully remote associates residing in states where reimbursement is required by contract, law, or regulation.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree