Coord Provider Network

Amerihealth Caritas•Baton Rouge, LA

8d•Hybrid

About The Position

The Provider Network Coordinator provides essential operational and administrative support to the Provider Network Management team and providers by coordinating, ensuring accurate data management, resolving issues, tracking activities, and executing initiatives related to provider network development, provider satisfaction, education, communication, and ongoing network operations. AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Requirements

High school diploma or GED required.
1 year of experience in healthcare/managed care operations, provider services, network management, or an administrative support role required.
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 with the ability to escalate issues appropriately.
Strong customer service orientation with a focus on provider satisfaction.

Nice To Haves

Associate’s degree preferred.

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 the intake, tracking, and management of provider issues, including maintaining provider tracking databases as applicable.
Help create processes that support continuous improvement, including identifying improvement opportunities and assisting providers with developing, implementing, monitoring, and tracking action plans.
Perform a variety of administrative and clerical duties to support Provider Network Management staff, ensuring 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 demographics, this information, and assist with status updates.
As applicable, prepare and coordinate panel adds, 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.