Senior Provider Relations Coordinator

Health Care Service Corporation•Helena, MT

6d•$47,500 - $86,000•Hybrid

About The Position

This position is responsible for contracting, credentialing, and maintaining professional provider data to support marketing, membership, and network contracting across all lines of business. It provides accurate and timely administration of provider contracts, rosters, inquiries, and requests, while supporting quality initiatives that ensure data accuracy. The role manages high-volume provider communications by email and phone, uses Salesforce for case management and documentation, participates in internal provider meetings and work groups, and researches issues related to provider credentialing, claims escalations, provider data, and network participation. It also serves as a liaison among Network Contracting, Provider Data Management, and providers to support credentialing, network activities, provider outreach, and operational initiatives. The coordinator manages a large caseload and works to ensure timely resolution of provider issues. This is a flex role requiring at least three days per week in the Helena, Montana office and two days remote. Sponsorship is not available.

Requirements

Bachelor’s degree and 2 years of managed care operations experience handling independent work, or 6 years of relevant experience.
Ability to work in the office in Helena, Montana.

Nice To Haves

2 years of experience managing a high volume of provider inquiries and resolving issues through email and phone communication.
2 years of proven proficiency with Salesforce for case management, documentation, and provider correspondence.
Advanced Microsoft Office skills, particularly Outlook, Excel, Word, and Teams, and the ability to create professional written communications.
Experience drafting and sending clear, professional email communications to providers and external stakeholders.
Ability to manage a large caseload simultaneously (90+ open cases) while meeting deadlines and maintaining attention to detail.
Experience resolving provider claims issues and escalations that could not be resolved through standard customer service channels.
Strong organizational and time management skills, with the ability to prioritize competing responsibilities.

Responsibilities

Administer provider contracts, rosters, inquiries, and requests accurately and in a timely manner.
Support quality initiatives to ensure provider data accuracy.
Manage high-volume provider communications through email and phone.
Use Salesforce for case management and documentation.
Participate in internal provider meetings and work groups.
Research issues related to provider credentialing, claims escalations, provider data, and network participation.
Liaise between Network Contracting, Provider Data Management, and providers to support credentialing, network activities, provider outreach, and operational initiatives.
Manage a large caseload and ensure timely resolution of provider issues.