Provider Network Development Coordinator

Provider Network Development Coordinator

Location: Birmingham, AL

Job Description

The Provider Network Development Coordinator is responsible for ensuring the management of provider applications within the provider data management system. This role is responsible for coordinating and tracking provider contracting, and initiating the credentialing process, ensuring compliance with regulatory requirements and supporting the development of a robust high-quality provider network.

This position requires strong organizational skills, attention to detail, and the ability to effectively manage multiple tasks in a fast-paced environment.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nations Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Key Responsibilities

• Maintain detailed records of provider agreement, credentialing documents, and related correspondence.
• Work closely with contracting, credentialing, and provider engagement teams to ensure the effective onboarding of new providers and maintenance of the network.
• Audit and provide reporting to ensure compliance with regulatory bodies, including Centers for Medicare & Medicaid Services (CMS) and state health departments.
• Serves as a point of contact for providers throughout the application and credentialing process. Provide clear communication to providers regarding status updates, required documentation, and next steps.
• Coordinate with contracting team to ensure timely execution of provider agreements.
• Ensure all provider information is up-to-date and complete to facilitate smooth contract execution and credentialing.

REQUIRED QUALIFICATIONS:

• Bachelor's degree in Health Care Administration, Business, or related field or equivalent experience in credentialing
• 3-5 years' experience in provider services, credentialing, contracting, or similar role in the health care industry
• Strong organizational skills and the ability to prioritize multiple tasks
• Excellent written and verbal communication skills, with an ability to interact professionally with internal teams and external providers
• Attention to detail and the ability to maintain accurate records and documentation
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint) and experience with provider management systems or databases
• Ability to work independently and as part of a team in a fast-paced, deadline-driven environment

PREFERRED QUALIFICATIONS:

• Masters Degree
• Experience working with Medicare Advantage plans and understanding of

CMS regulations.