Provide high-level administrative support, data management, and operational coordination to the Health Partner Engagement team.
Maintain accuracy of electronic provider records, profiles, and demographics within databases.
Provide direct support to providers regarding portal navigation and troubleshooting.
Support Health Partner Engagement (HPE) team in maintaining and developing key relationships.
Manage the HPE mailbox for provider and internal stakeholder inquiries and responses.
Submit and track ServiceNow (SNOW) tickets to resolution and provide necessary follow-up to HPE team.
Act as the HPLC liaison, providing support for provider credentialing, onboarding, and documentation.
Work collaboratively with departmental staff and management personnel to ensure continuous performance improvement for provider satisfaction and internal operations.
Pull and analyze provider claims trend data from Power BI to support provider education needs.
Create, maintain, and update interactive Power BI dashboards specific to Market.
Liaise with the MLSS team to access databases, and present data insights to HPE team and leadership.
Assist in documenting provider concerns in applicable systems and provide support to resolve identified issues and potential risk.
Perform all necessary duties to successfully support CareSource and Affiliate Companies contractual requirements with state and any other regulatory entities.
Perform any other job related duties as requested.

Requirements

High School or GED completion required
Associates or Bachelor's degree in business, communications, or related field is preferred
One (1) year of healthcare industry, account management or sales experience, preferably in the Healthcare field preferred
Intermediate proficiency level with Microsoft Outlook, Word, and Excel
Knowledgeable of Facets, Credentialing platforms, and Power BI
High level of organizational skills with the ability to work directly with management teams in a fast-paced environment.
Strong customer service skills
Excellent written and oral communication skills
Strong problem-solving skills
Strong interpersonal skills
Ability to work as a team
Ability to manage multiple projects and prioritize
Excellent research and analytical skills

Benefits

Substantial and comprehensive total rewards package

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data managementprovider credentialingprovider onboardingclaims trend analysisPower BIMicrosoft OutlookMicrosoft WordMicrosoft ExcelServiceNowdocumentation

Soft Skills

organizational skillscustomer service skillswritten communicationoral communicationproblem-solving skillsinterpersonal skillsteamworkproject managementprioritizationresearch skills

Certifications

High School diplomaGEDAssociates degreeBachelor's degree