Provider Contract Coordinator

Job Summary

Supporting the administration and maintenance of provider contracts, the remote Provider Contract & Credentialing Coordinator will manage contract workflow activities, ensure accurate system configuration, and serve as a liaison between various departments to meet credentialing and regulatory obligations.

Key responsibilities

• Coordinate and track provider contracts and related documentation
• Oversee communication with delegated entities regarding credentialing requirements
• Act as the credentialing auditor for delegated provider groups

Required qualifications

• High school diploma or equivalent required
• Three years of experience in healthcare contracting, provider network operations, or credentialing required
• Experience with contract management systems and provider databases required
• Familiarity with delegated credentialing models within Medicaid, Medicare Advantage, or Commercial health plans preferred
• Knowledge of credentialing standards such as CMS, state Medicaid, NCQA, or URAC requirements