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Coordinator Provider Network

AmeriHealth Caritas

Raleigh, NC

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JOB DETAILS
LOCATION
Raleigh, NC
POSTED
21 days ago
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


Work Arrangement: Must reside in North Carolina


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 to 2 years’ experience in member, provider and/or finance operations in a healthcare or Managed Care Organization

+ 1 to 2 years experience in customer service

+ 1 to 2 years Medicaid experience preferred

+ 1 to 2 years’ experience in business operations preferred


Our Comprehensive Benefits Packa ge


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.


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.
As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

About the Company

A

AmeriHealth Caritas

Leaders in health care solutions for those most in need

AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

Our mission, our goal

Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.amerihealthcaritas.com