Highlights
DEPARTMENT DESCRIPTION Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. Three (3) years of experience in healthcare contracting, provider network operations, credentialing, or related managed care functions required.
Numbers & Facts
| Location | Corvallis, OR (Remote) |
Description
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin.
- JOB SUMMARY/PURPOSE
- Responsible for supporting the administration, tracking, and maintenance of provider contracts and related documentation. Coordinates contract workflow activities, ensures accurate system configuration, and assists with oversight and communication with delegated entities related to credentialing requirements. Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider groups to ensure contractual and regulatory obligations are met.
- DEPARTMENT DESCRIPTION
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- High school diploma or equivalent required.
- Three (3) years of experience in healthcare contracting, provider network operations, credentialing, or related managed care functions required.
- Experience supporting provider contract administration and/or credentialing processes required.
- Experience working with contract management systems, provider databases, or workflow tracking tools required.
- Experience working with delegated credentialing models within Medicaid, Medicare Advantage, or Commercial health plans preferred.
- KNOWLEDGE/SKILLS/ABILITIES
- Knowledge of provider contracting lifecycle and documentation requirements. Understanding of credentialing standards (e.g., CMS, state Medicaid, NCQA, or URAC requirements).
- Strong organizational skills and attention to detail. Analytical skills to review documentation for completeness and compliance.
- Ability to manage multiple projects and deadlines simultaneously.
- Effective written and verbal communication skills.
- Ability to collaborate cross-functionally with Contracting, Credentialing, Compliance, and delegated provider entities.
- Proficiency in Microsoft Office and contract tracking systems.
- PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK – LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist