Provider Network Development Coordinator

Viva Health•Birmingham, AL

8d•Onsite

About The Position

The Provider Network Development Coordinator is responsible for ensuring the management of provider applications within the provider data management system. This role is responsible for coordinating and tracking provider contracting, and initiating the credentialing process, ensuring compliance with regulatory requirements and supporting the development of a robust high-quality provider network. This position requires strong organizational skills, attention to detail, and the ability to effectively manage multiple tasks in a fast-paced environment.

Requirements

Bachelor’s degree in Health Care Administration, Business, or related field or equivalent experience in credentialing
3-5 years’ experience in provider services, credentialing, contracting, or similar role in the health care industry
Strong organizational skills and the ability to prioritize multiple tasks
Excellent written and verbal communication skills, with an ability to interact professionally with internal teams and external providers
Attention to detail and the ability to maintain accurate records and documentation
Proficient in Microsoft Office Suite (Word, Excel, PowerPoint) and experience with provider management systems or databases
Ability to work independently and as part of a team in a fast-paced, deadline-driven environment

Nice To Haves

Master's Degree
Experience working with Medicare Advantage plans and understanding of CMS regulations.

Responsibilities

Maintain detailed records of provider agreement, credentialing documents, and related correspondence.
Work closely with contracting, credentialing, and provider engagement teams to ensure the effective onboarding of new providers and maintenance of the network.
Audit and provide reporting to ensure compliance with regulatory bodies, including Centers for Medicare & Medicaid Services (CMS) and state health departments.
Serves as a point of contact for providers throughout the application and credentialing process.
Provide clear communication to providers regarding status updates, required documentation, and next steps.
Coordinate with contracting team to ensure timely execution of provider agreements.
Ensure all provider information is up-to-date and complete to facilitate smooth contract execution and credentialing.