Provider Relations Coordinator

COPE Health Solutions•Fresno, CA

9d•Onsite

About The Position

The Provider Relations Coordinator plays a key role in supporting the contracting and credentialing operations of CHS IPA. This position partners closely with Business Development Managers and other internal teams to ensure timely onboarding, compliance, and engagement of network providers. The Coordinator serves as a vital liaison between COPE Health Solutions and its provider community, helping to strengthen relationships and ensure operational excellence across the IPA network.

Requirements

Associate or bachelor’s degree preferred (or equivalent work experience).
2+ years of experience in healthcare provider relations, contracting, credentialing, or MSO/IPA operations.
Familiarity with CAQH, CMS, NCQA, and managed care credentialing standards.
Strong organizational and time-management skills with attention to detail.
Excellent verbal and written communication skills.
Proficiency in Microsoft Office Suite; experience with Salesforce or CRM a plus.
Ability to manage multiple priorities, meet deadlines, and work independently while supporting team goals.

Responsibilities

Assist BDMs in preparing, tracking, and processing provider participation agreements.
Manage contract packets, ensuring all required forms and addenda are included.
Maintain contract status logs and follow up on outstanding agreements.
Coordinate with providers and practice managers to collect signatures, answer questions, and ensure timely completion.
Review all credentialing submissions for completeness (e.g., licenses, DEA, malpractice insurance, board certifications, CAQH attestation).
Proactively outreach to providers/practice staff to obtain missing or expired documents.
Liaise with ProSource MSO to submit credentialing packets and resolve deficiencies.
Track credentialing and recredentialing timelines, ensuring compliance with payer and regulatory standards.
Maintain organized digital records within Salesforce/CRM or shared systems.
Serve as a first-line contact for provider inquiries related to contracting and credentialing.
Support scheduling of provider recruitment meetings and orientations.
Coordinate logistics for provider information sessions, community meetings, and trainings.
Deliver excellent customer service to enhance provider satisfaction and engagement.
Enter and update provider demographic, contract, and credentialing data in CRM/roster systems.
Generate weekly/monthly reports on contract pipeline, credentialing status, and onboarding progress.
Flag potential delays or risks in contracting/credentialing workflows for BDM and leadership review.
Ensure accuracy of provider data for network adequacy reporting and payer submissions.
Monitor expirables (licenses, DEA, malpractice, etc.) and send reminders ahead of deadlines.
Ensure all provider records comply with internal policies, payer requirements, and audit standards.
Support internal and external audits by providing documentation and status updates.
Manage calendars, outreach campaigns, and follow-ups for BDMs.
Prepare meeting materials, presentations, and contracting reports.
Assist with travel logistics, event coordination, and expense submissions as needed.
Provide cross-coverage for other coordinators during peak contracting/credentialing periods.