What are the responsibilities and job description for the Coordinator Provider Network position at AMERINC?
Your career starts now. We are looking for the next generation of health care 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 health care 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 want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
As part of the NC Provider Network Management team, the Coordinator, Provider Network Management builds and prepares the provider contract profiles in support of business activities and essentials for accuracy, maintenance and retrieval of provider data and contract requirements.
Major Accountabilities:
• Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information
• Accurate entry and proper maintenance of provider data
• Knowledge and application of market implementation data rules and processes
• Meet the business project timelines and milestones
• Work and maintain inventory in queue based on prioritization, aging and campaign
• Contribute to the effective operations of the NC Provider Network Management
Education/ Experience:
- Associate’s Degree or equivalent combination of education and work experience in a Health Care field preferred.
- Minimum 1 – 2 years’ experience in member, provider and/or finance operations in a healthcare or Managed Care Organization
- 1-2 years’ experience in customer service
- 1-2 years Medicaid experience preferred
- 1-2 years’ experience in business operations preferred
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
