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Program Coordinator (Provider Relations)

Location : Orange, CA
Job Type : Temp/Contract
Job Industry : Healthcare - Health Services

Job Description :

The position will be responsible for performing functions and tasks related to Provider Relations, which includes researching policies, preparing reports, assisting with provider inquires, and performing a wide variety of supporting tasks to assist the department’s compliance with regulatory and operational requirements/deadlines. The incumbent will be responsible for ensuring timely follow-ups on provider relations deliverables, reviewing, and maintaining the department inbox, maintaining the Provider Relations folder, assisting with meetings, as well as work on other assigned duties.


 


Position Responsibilities:



  • Assists with updating, maintaining, and ensuring that all provider requests via the department inbox are monitored and responded to on a timely basis.

  • Manages escalated provider calls via the department phone queue on a timely basis.

  • Tracks and monitors provider relations log, deadlines, and deliverables as necessary.

  • Prepares and provides ad-hoc reports.

  • Assists with the documentation and updates of internal workflows and desktop procedures.

  • Researches issues to assist with the resolution of provider inquires and escalated member cases.

  • Other projects and duties as assigned.


 


Possesses the Ability To:



  • Triages and resolves questions to appropriate internal and external entities.

  • Build working relationships with staff of all levels.

  • Have strong organizational skills.

  • Prioritize and organize work to meet challenging deadlines.

  • Adapt to constantly changing priorities in managing various projects simultaneously.

  • Maintain a high degree of credibility, confidentiality, integrity, and professionalism in a high-pace environment.

  • Work independently and be highly self-motivated with minimal supervision.

  • Demonstrate creativity, initiative, and good judgment while providing a high level of customer service to internal and external entities.

  • Perform a wide variety of complex office support duties and set work priorities based on knowledge of various activities.

  • Take direction and work as part of a team in the department, including other managers and administrative staff.

  • Communicate clearly and concisely, both verbally and in writing.

  • Utilize and access computer and appropriate software (e.g., Microsoft: Word, Excel, PowerPoint, Access, Visio, and SharePoint) and job-specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position.


 


 


Required Qualifications :
 

Experience & Education:



  • High school diploma or equivalent required.

  • 1+ years of Administrative Assistant experience required.


 


Preferred Qualifications:



  • Associate degree in Business Administration preferred.


 


Knowledge of:



  • Managed Care provider and health care industry practices.



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