Coordinator Provider Network

Amerihealth Caritas•Columbus, OH

7d•Remote

About The Position

The Provider Network Coordinator provides operational and administrative support to the Provider Network Management team and providers. The role coordinates activities, maintains accurate data, helps resolve issues, tracks provider network activities, and supports initiatives related to provider network development, provider satisfaction, education, communication, and ongoing operations. The position is fully remote, with the associate required to be located in Ohio and attend monthly meetings as needed in Dublin, Ohio.

Requirements

High school diploma or GED.
At least 1 year of experience in healthcare/managed care operations, provider services, network management, or an administrative support role.
Strong organizational and coordination skills, with attention to detail.
Ability to manage multiple tasks and priorities in a fast-paced environment.
Effective written and verbal communication skills.
Ability to work collaboratively with internal teams and external provider partners.
Basic understanding of healthcare operations, particularly provider networks, claims, credentialing, and enrollment processes.
Proficiency with databases, tracking tools, and Microsoft Office applications.
Problem-solving mindset and ability to escalate issues appropriately.
Strong customer service orientation with a focus on provider satisfaction.

Nice To Haves

Associate’s degree.

Responsibilities

Support provider network development and management strategies through coordination, tracking, and follow-up activities.
Assist leadership with departmental initiatives related to provider satisfaction, education, and communication.
Support intake, tracking, and management of provider issues, including maintaining provider tracking databases as applicable.
Help create continuous-improvement processes by identifying improvement opportunities and assisting providers with developing, implementing, monitoring, and tracking action plans.
Perform administrative and clerical duties to support Provider Network Management staff and efficient daily operations.
Serve as a resource to Network Management Account Executives for lower-complexity contracting, provider setup questions, and issue resolution.
Verify and update provider demographic information and assist with status updates.
As applicable, prepare and coordinate panel additions, panel holds, changes, member reassignments, and member interventions in accordance with state requirements.
Maintain a general operational understanding of provider-related processes, including claims, payment integrity, provider data management, credentialing, appeals, and dispute resolution.
Update and maintain the provider contract database, ensuring accuracy and adherence to established timelines.