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Amerihealth: Coordinator Network Operations


This is a Full-time position in Philadelphia, PA posted October 11, 2021.

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 Philadelphia, 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.Responsibilities:As part of the Corporate Provider Network Operations team, the Coordinator, Corporate Provider Network Operations builds and prepares the provider profiles for enterprise systems in support of business activities and essentials for accuracy, maintenance and retrieval of provider data and contract requirements.Major Accountabilities:Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information.Accurate entry and proper maintenance of provider data.Knowledge and application of market implementation data rules and processes.Meet the business project timelines and milestones.Knowledge of and ability to manage, modify and update Contract Manager database, operating system (such as, FACETS) and other enterprise systems for new and existing markets.Work daily workflow queue in any enterprise system (such as, EXP MACCESS ) used for provider information-gathering, updates and maintenance.Work and maintain inventory in queue based on prioritization, aging and campaign.Contribute to the effective operations of CPNO division.Education/ Experience:Associate’s Degree or equivalent combination of education and work experience in a Health Care Field preferred.Minimum 1 – 2 years experience in member, provider and/or finance operations in a healthcare or Managed Care Organization.1-2 years experience in customer service.1-2 years Medicaid experience and in business operations preferred.Proficiency with Microsoft Office Suite (Word, Excel, Power Point).

Consistent word processing speed and accuracy of 50 or more words per minute.Access is a plus.Back ShareApply Now