Coordinator Provider Network

• Remote - This position is fully remote; the associate must be located in Ohio (OH) and attend monthly meetings as needed in Dublin, OH., * 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.

• High school diploma or GED required.
• Associate’s degree preferred.
• 1 year of experience in healthcare/managed care operations, provider services, network management, or an administrative support role required.

Skills & Abilities:

• 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.