Coordinator Provider Network

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re 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’d like to hear from 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.

Role Overview: The Coordinator, Provider Network Operations supports the Provider Network Operations team in managing Plan operational functions and activities; key responsibilities include:

Work Arrangements:

• Hybrid - Associate must be located in Michigan (MI)

Responsibilities:

• Coordinates and facilitates administrative activities including meetings and material development (P&Ps, desk procedures, workflows, etc.)
• Performs provider AGID assignment/submissions to EO
• Performs provider roster analysis/management (adds, changes, terms) and subsequent submissions to EO for update
• Coordinates and submits panel transfers
• Performs other related duties and projects as assigned

Education/Experience:

• Associate’s Degree preferred or equivalent combination of education and work experience in a Health Care field.
• 1-3 years experience.
• Previous claims, provider data, healthcare, managed care or insurance industry environment preferred.
• Must be proficient in Microsoft Office products.
• Superior organizational skills required.
• Critical thinking skills.
• Billing and coding experience/knowledge a plus.
• Strong customer service skills.
• Excellent written and verbal communication.
• Track record of Customer Excellence.
• Demonstrated ability to coordinate activities across functional areas.
• Sound personal management skills to plan, organize, schedule, and complete own work and work that is coordinated with others.

Our Comprehensive Benefits Package

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.