SHP Provider Contract Coordinator

This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin.

• JOB SUMMARY/PURPOSE
  • Responsible for supporting the administration, tracking, and maintenance of provider contracts and related documentation. Coordinates contract workflow activities, ensures accurate system configuration, and assists with oversight and communication with delegated entities related to credentialing requirements. Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider groups to ensure contractual and regulatory obligations are met.
• DEPARTMENT DESCRIPTION
  • Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together.
• EXPERIENCE/EDUCATION/QUALIFICATIONS
  • High school diploma or equivalent required.
  • Three (3) years of experience in healthcare contracting, provider network operations, credentialing, or related managed care functions required.
  • Experience supporting provider contract administration and/or credentialing processes required.
  • Experience working with contract management systems, provider databases, or workflow tracking tools required.
  • Experience working with delegated credentialing models within Medicaid, Medicare Advantage, or Commercial health plans preferred.
• KNOWLEDGE/SKILLS/ABILITIES
  • Knowledge of provider contracting lifecycle and documentation requirements. Understanding of credentialing standards (e.g., CMS, state Medicaid, NCQA, or URAC requirements).
  • Strong organizational skills and attention to detail. Analytical skills to review documentation for completeness and compliance.
  • Ability to manage multiple projects and deadlines simultaneously.
  • Effective written and verbal communication skills.
  • Ability to collaborate cross-functionally with Contracting, Credentialing, Compliance, and delegated provider entities.
  • Proficiency in Microsoft Office and contract tracking systems.
• PHYSICAL DEMANDS
  • Rarely
    (1 - 10% of the time)

    Occasionally
    (11 - 33% of the time)

    Frequently
    (34 - 66% of the time)

    Continually
    (67 - 100% of the time)

    CLIMB - STAIRS

    LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

    LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

    LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

    CARRY 1-handed, 0 - 20 pounds

    BEND FORWARD at waist

    KNEEL (on knees)

    STAND

    WALK - LEVEL SURFACE

    ROTATE TRUNK Standing

    REACH - Upward

    PUSH (0 - 20 pounds force)

    PULL (0 - 20 pounds force)

    SIT

    CARRY 2-handed, 0 - 20 pounds

    ROTATE TRUNK Sitting

    REACH - Forward

    MANUAL DEXTERITY Hands/wrists

    FINGER DEXTERITY

    PINCH Fingers

    GRASP Hand/Fist