Field Provider Network Coordinator

Take advantage of flexible hours, and a competitive salary, and be Provider Network Coordinator with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a Provider Network Coordinator can provide a high level of service and attention to their patients.

If you are a Provider Network Coordinator and you meet the qualifications listed below, please click apply below for consideration

Daily Responsibilities of a Provider Network Coordinator

• The provider engagement administrators will work with provider offices to manage performance and drive performance improvement.
• Serve as primary contact for providers and act as a liaison between the providers and the health plan
• Triages provider issues as needed for resolution to internal partners
• Investigate, resolve and communicate provider claim issues and changes
• Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
• Evaluates provider performance and develops strategic plan to improve performance
• Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
• Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC)
• Develop proficiency in tools and value based performance (VBP) and educate providers on use of tools and interpretation of data

Provider Network Coordinator Requirements:

• Bachelors Degree
• 3+ years of provider relations, provider claims, or provider contracting experience
• Knowledge of Medicare/Medicaid
• Strong computer skills
• Active Driver’s License and insurance, personal car, and ability to pass DMV report
• Good tenure in past positions – 1-2+ years in prior roles

Location: Remote in Vermont *may be provider office visits involved

Hours for this Position: Monday – Friday 8:00am – 5:00pm

Start Date: As soon as Possible

Advantages of this Opportunity:

• Starting pay is $30.00 to $39.00 hourly.
• Benefits offered, Medical, Dental, and Vision
• Opportunity to grow your career with a LARGE managed care provider.
• Fun and positive work environment

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to distinguished career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Interested in being Considered?

If you are interested in applying for this position, please click Apply Now or email your resume directly to, [email protected]

Delilah Ross

[email protected]

Refer potential candidates! We provide a bonus to referrals who get placed and complete at least 45 days! Use this referral link: https://sensereferrals.com/healthcare-support/r/2940471

Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.