Job Details
Job Description:
JOB SUMMARY/PURPOSE
Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans’ procedures, benefits, policies, and available provider tools
Coordinates and provides administrative support to the Network Contracting and Relations team.
Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through.
Document all provider interactions and outcomes in internal systems.
Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates.
Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed.
Assist in maintaining accurate provider directories by validating demographic and operational information.
Participate in Network Management projects and initiatives to support departmental goals.
Support cross-functional collaboration to resolve routine provider operational concerns.
DEPARTMENT DESCRIPTION
The Network Management / Provider Relations department is responsible for developing, supporting, and maintaining relationships with the provider network across all product lines. The team ensures providers have the information, resources, and operational support needed to deliver high-quality care to plan members. The department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to resolve provider issues and improve overall provider satisfaction.
EXPERIENCE/EDUCATION/QUALIFICATIONS
Bachelor’s degree or equivalent combination of education and relevant experience within the health care industry required
Strong organizational skills with the ability to manage multiple priorities effectively
Excellent written and verbal communication skills
Proficiency in Microsoft Office applications (Word, Excel, Outlook, PowerPoint) required
Health plan experience strongly preferred, particularly in one or more of the following areas:
Provider Relations
Referral Authorization
Provider Data Maintenance
Claims Processing
KNOWLEDGE/SKILLS/ABILITIES
Data entry accuracy.
Organization and time management.
Basic managed care concepts.
Communication and collaboration.
Ability to follow SOPs.
Detail orientations
Position Urgency:
Normal
Shifts:
Days (0800-1700) Remote, no weekends
State License Details:
Not Needed
Minimum Years of Experience:
1
Minimum Guaranteed Hours:
40
Specialty Type:
Clerical
Sub Specialty:
Clerical/Office Assistant/Support
Bilingual:
No
EMR Used:
No Listing
Holiday Coverage Required:
No
Pay Rate
$18.55 - $23.42/hour
About us :
At MedCadre , we’re dedicated collaborators, bridging the gap between top-tier professionals and healthcare organizations that prioritize excellence. By fostering transparent communication and leveraging deep industry expertise, we build enduring partnerships rooted in trust.
For more relevant healthcare job opportunities, please visit our website: MedCadre Careers
