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Coordinator Provider Network

Amerihealth Caritas -
Dublin, OH

Job Details

Full-time

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Productivity software

Full Job Description

Role Overview: The Coordinator of Provider Network supports the Provider Network Operations team in managing Plan operational functions and activities.

Key Responsibilities Include:

Coordinates and facilitates administrative activities, including meetings and material development (P&Ps, desk procedures, workflows, etc.).
Performs provider AGID assignment/submissions to Enterprise Operations (EO).
Performs provider roster analysis/management (adds, changes, terms) and subsequent submissions to EO for update.
Coordinates and submits panel transfers.
Performs other related duties and projects assigned.
Performs coordination and support for provider contracting life-cycle

Work Arrangement: Hybrid - Must be commutable to Dublin, OH office.

Education/Experience:

Associate’s degree preferred or equivalent combination of education and work experience in a Health Care field.
1 to 3 years relative experience in previous claims, provider data, healthcare, managed care or insurance industry environment preferred.
Must be proficient in Microsoft Office products.

Skills & Abilities:

Exceptional organization, critical thinking, and proven customer excellence.
Strong customer service skills.
Excellent written and verbal communication.
Demonstrated ability to coordinate activities across functional areas.
Self-motivated with strong time management and process optimization
Demonstrate ability to problem solve and detailed oriented

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.

Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.

About AmeriHealth Caritas

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com

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