Jobs · Ohio

Coordinator Provider Network

AmeriHealth Caritas · Dublin, OH · 2 wk ago
HybridFull-time
We need to output HTML fragment with sections: headings using

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We need to parse the posting. Given text includes: - Intro about remote/hybrid internet requirement (maybe part of Work Arrangements). Not a section heading but we can include as part of About the role? The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Do NOT repeat the job title as a heading. Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it. We need to preserve all substantive information; remove boilerplate like cookie/navigation/legal/EEO etc. There's none. We need to include sections only when posting has real specific content. Let's identify sections: - About the role: Could be the Role Overview paragraph. Also maybe the mission statement etc. But we need to avoid filler. The posting includes: "Role Overview: The Provider Network Coordinator provides essential operational and administrative support..." That's substantive. Also earlier paragraphs about AmeriHealth Caritas mission etc. Might be considered About the role or About the company. The instruction says use headings like About the role, Responsibilities, etc. So we can put About the role containing the role overview and maybe company description? But we should not invent content. We'll include the Role Overview paragraph as About the role. - Work Arrangements: Not a standard heading but we could include under About the role or maybe as a separate section? The instruction list does not include Work Arrangements; but we could embed within About the role or maybe as a short p. Since they said use those headings for section headings; we can still include other headings? It says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but suggests using those. Probably we should stick to those headings only. So we can incorporate work arrangement info into About the role or maybe as a short p under About the role. - Responsibilities: bullet list of duties. We'll put

Responsibilities

then
  • ... each duty. - Education & Experience: Could be under Requirements or Qualifications. The posting has "Education & Experience:" with bullet? Actually it's sentences. We'll treat as Requirements (or Qualifications). Since they have both Requirements and Qualifications as possible headings. We'll choose Requirements for education/experience. - Skills & Abilities: Skills section. - Benefits: They have "Our Comprehensive Benefits Package ..." with list. We'll put Benefits. - Pay and Schedule: Not mentioned specifically; they mention "Competitive pay" but not specific numbers. The instruction says never create Pay/Schedule sections unless posting actually states them. It says "Competitive pay" is vague but still states pay exists. However they said never create Pay/Schedule sections unless posting actually states them. Does "Competitive pay" count as stating pay? It's not a specific number or range, but it's a statement about pay. The instruction: "never create Pay/Schedule/Benefits sections unless the posting actually states them." It also says "Prefer a few substantive sections over many thin ones." And "never emit a heading followed by filler/placeholder text (e.g. 'commensurate with experience', 'not specified', 'N/A', 'varies', 'TBD')". "Competitive pay" is somewhat vague but not exactly placeholder like "commensurate with experience". It's a statement that pay is competitive. Might be considered substantive? I'd lean to include Pay section with that statement. However they said "never create Pay/Schedule/Benefits sections unless the posting actually states them." They gave examples of filler like "commensurate with experience". "Competitive pay" is not exactly filler but still vague. Might be okay. But to be safe, maybe we omit Pay section because it's not a specific number or range. The instruction says "never emit a heading followed by filler/placeholder text". "Competitive pay" could be considered filler? Not sure. I'd omit Pay. - Schedule: Not mentioned besides hybrid work arrangements. Could be considered Schedule? They mention hybrid work schedule. That's schedule info. Could include Schedule section with hybrid work schedule and location requirement (Ohio). But they said only include if posting actually states them. It does state hybrid work schedule and location. So we could include Schedule. But the instruction list includes Schedule as a possible heading. So we can include Schedule heading with details: Hybrid - Associate must be located in Ohio (OH). Also internet requirement. Thus sections: About the role, Responsibilities, Requirements (education/experience), Skills, Benefits, Schedule. We should not include Requirements and Qualifications both; choose one. We'll use Requirements for education/experience. Now we need to format. We need to wrap each section:

    Heading

    then content: either

    for prose or

    • for lists. We need to preserve all substantive information. Let's extract. About the role: Should include role overview and maybe company mission? The instruction says preserve ALL substantive information; do not invent or summarize away detail. So we need to include all substantive info from posting, not just role overview. That includes the introductory paragraphs about AmeriHealth Caritas mission, etc. But those are about the company, not the role. However they are substantive. Should we include them? The heading About the role could include both role overview and company description? Might be okay but could be mixing. However we could also create an About the company section but not in allowed headings. Since we only allowed those headings, we could put company description under About the role as well, but that might be stretching. However the instruction says "use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but suggests using those. It says "Prefer a few substantive sections over many thin ones." So we could combine company description into About the role. Thus About the role

      containing: "Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. Role Overview: The Provider Network Coordinator provides essential operational and administrative support to the Provider Network Management team and providers by coordinating, ensuring accurate data management, resolving issues, tracking activities, and executing initiatives related to provider network development, provider satisfaction, education, communication, and ongoing network operations. Work Arrangements: Hybrid - Associate must be located in Ohio (OH). For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you." That seems to capture all substantive info before responsibilities. Now Responsibilities: list each bullet. Let's extract responsibilities bullet points: - Support provider network development and management strategies through coordination, tracking, and follow‑up activities. - Assist leadership with departmental initiatives related to provider satisfaction, education, and communication. - Support the intake, tracking, and management of provider issues, including maintaining provider tracking databases as applicable. - Help create processes that support continuous improvement, including identifying improvement opportunities and assisting providers with developing, implementing, monitoring, and tracking action plans. - Perform a variety of administrative and clerical duties to support Provider Network Management staff, ensuring efficient daily operations. - Serve as a resource to Network Management Account Executives for lower‑complexity contracting, provider setup questions, and issue resolution. - Verify and update provider demographics, this information, and assist with status updates. - As applicable, prepare and coordinate panel adds, panel holds, changes, member reassignments, and member interventions in accordance with state requirements. - Maintain a general operational understanding of provider‑related processes, including claims, payment integrity, provider data management, credentialing, appeals, and dispute resolution. - Update and maintain the provider contract database, ensuring accuracy and adherence to established timelines. We need to keep the exact phrasing. Now Requirements (Education & Experience): - High school diploma or GED required. - Associate’s degree preferred. - 1 year of experience in healthcare/managed care operations, provider services, network management, or an administrative support role required. We'll put as

      • . Now Skills & Abilities: - Strong organizational and coordination skills with attention to detail. - Ability to manage multiple tasks and priorities in a fast‑paced environment. - Effective written and verbal communication skills. - Ability to work collaboratively with internal teams and external provider partners. - Basic understanding of healthcare operations, particularly provider networks, claims, credentialing, and enrollment processes. - Proficiency with databases, tracking tools, and Microsoft Office applications. - Problem‑solving mindset with the ability to escalate issues appropriately. - Strong customer service orientation with a focus on provider satisfaction. Now Benefits: - Flexible work solutions including remote options, hybrid work schedules, - Competitive pay, - Paid time off including holidays and volunteer events, - Health insurance coverage for you and your dependents on Day 1, - 401(k) - Tuition reimbursement and more. We need to keep as list. Now Schedule: - Hybrid - Associate must be located in Ohio (OH). - For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. - Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. But note we already included internet requirement in About the role; we might duplicate. To avoid duplication, we could keep internet requirement only in Schedule section and not repeat in About the role. However we already included it in About the role; we could remove from About the role to avoid duplication. The instruction says preserve ALL substantive information; we can include it once. Let's move internet requirement to Schedule section and remove from About the role. Thus About the role will not include internet requirement. Now Schedule section will contain: - Hybrid - Associate must be located in Ohio (OH). - For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. - Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. Now we need to ensure we didn't miss any other substantive info: The line "Your career starts now. We’re looking for the next generation of health care leaders..." we included in About the role. Good. Now we need to output only HTML fragment, no /, no markdown fences. Let's craft. Structure:

        About the role

        ...

        Responsibilities

        • ...

Similar jobs

Network Coordinator

Koenig & Bauer (US)/(CA)Dallas, TX· 2 wk ago
Administrative$25–$30/hrapply on workforcenow.adp.com