What are the responsibilities and job description for the Provider Network Coordinator (C) position at GLOBALFORCE-US.COM?
Vaccination required
Training is on site.
Contract Position
Training is on site.
Contract Position
Job Title: Coord Provider Network
Duties:
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.
- Serves as a resource to Network Management Account Executives for contracting and provider set up questions/issues.
- Assists the Contract Management Coordinator as necessary to assess issues/problems being encountered by providers and staff.
- Responsible for Provider demographic management which includes additions, deletions or corrections and initial provider loads to Provider Maintenance.
- Responsible for panel adds, holds and changes, member reassignments and member interventions as requested from Providers as mandated by State.
- 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.
- Serves as a resource to Network Management Account Executives for contracting and provider set up questions/issues.
- Assists the Contract Management Coordinator as necessary to assess issues/problems being encountered by providers and staff.
- Responsible for Provider demographic management which includes additions, deletions or corrections and initial provider loads to Provider Maintenance.
- Responsible for panel adds, holds and changes, member reassignments and member interventions as requested from Providers as mandated by State.
- 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/GED.
- Associate's Degree - preferred.
Skills and Experience:
Required Skills:
- CONTRACTS.
- MANAGED CARE.
- ADMIN.
Languages:
- English.
- Read.
- Write.
- Speak.
Patents: No
Publications: No
Veteran Status: No
# of Positions: 2
Location:
Raleigh, NC
8041 Arco Corporate Drive,
Schedule:
Start Date: 11/28/2022
Estimated End Date: 03/03/2023
Hours Per Week: 40.00
Hours Per Day: 8.00
Salary : $18
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