Coord Provider Network

Job Title: Coord Provider Network
Location (On-site, Remote, or Hybrid?):Raleigh, NC (ONSITE)
Contract Duration:3 months

The primary purpose of the job is to: Responsible for addressing provider issues and maintaining the provider tracking databases.

In addition, the Network Coordinator supports the Network Management Department by assisting with root cause analysis and/or the development of reports, and other support activities related to monitoring the accuracy of provider contract configuration and resolution of provider issues.

1. Serves as a resource to Network Management Account Executives for contracting and provider set up questions/issues.

2. Assists the Contract Management Coordinator as necessary to assess issues/problems being encountered by providers and staff.

3. Responsible for Provider demographic management which includes additions, deletions or corrections and initial provider loads to Provider Maintenance.

4. Responsible for panel adds, holds and changes, member reassignments and member interventions as requested from Providers as mandated by State.

5. Responsible for the PMP/PCP Add and Terms with the State, as mandated by State.Responsible for updating the provider contract database with new information or modifications to existing provider contracts accurately and within established timeframes.

Skills:

The primary purpose of the job is to: Responsible for addressing provider issues and maintaining the provider tracking databases. In addition, the Network Coordinator supports the Network Management Department by assisting with root cause analysis and/or the development of reports, and other support activities related to monitoring the accuracy of provider contract configuration and resolution of provider issues.

1. Serves as a resource to Network Management Account Executives for contracting and provider set up questions/issues.

2. Assists the Contract Management Coordinator as necessary to assess issues/problems being encountered by providers and staff.

3. Responsible for Provider demographic management which includes additions, deletions or corrections and initial provider loads to Provider Maintenance.

4. Responsible for panel adds, holds and changes, member reassignments and member interventions as requested from Providers as mandated by State.

5. Responsible for the PMP/PCP Add and Terms with the State, as mandated by State.Responsible for updating the provider contract database with new information or modifications to existing provider contracts accurately and within established timeframes.

Education: High School/GEDAssociate's Degree - preferred

Schedule Notes:
Required Skills: CONTRACTS,MANAGED CARE,ADMIN,
Additional Skills:
Hours Per Day: 8.00
Hours Per Week: 40.00
Languages: English( Speak, Read, Write )
Department: AMHNC_1061_159 : Network Management
Job Category: NonClinical - Admin/Claims/CSR/Tech