Senior Provider Relations Coordinator

HCSC•Helena, MT

5d•$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 administers provider contracts, rosters, inquiries, and requests accurately and promptly, and supports quality initiatives to 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 involving provider credentialing, claims escalations, provider data, and network participation. It serves as a liaison among Network Contracting, Provider Data Management, and providers to support credentialing, network activities, provider outreach, and operational initiatives. The coordinator maintains a large caseload and ensures 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. The position aligns with an annual incentive bonus plan. 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 Helena, Montana office at least three days per week.

Nice To Haves

Two years of experience managing high-volume provider inquiries and resolving issues through email and phone communication.
Two years of proven Salesforce proficiency for case management, documentation, and provider correspondence.
Advanced Microsoft Office skills, particularly Outlook, Excel, Word, and Teams, and 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, including 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 by 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 among Network Contracting, Provider Data Management, and providers to support credentialing, network activities, provider outreach, and operational initiatives.
Maintain a large caseload and ensure timely resolution of provider issues.