SHP Provider Contract Coordinator

DEPARTMENT DESCRIPTION

Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• High school diploma or equivalent required.
• Three (3) years of experience in healthcare contracting, provider network operations, credentialing, or related managed care functions required.
• Experience supporting provider contract administration and/or credentialing processes required.
• Experience working with contract management systems, provider databases, or workflow tracking tools required.
• Experience working with delegated credentialing models within Medicaid, Medicare Advantage, or Commercial health plans preferred.

KNOWLEDGE/SKILLS/ABILITIES

• Knowledge of provider contracting lifecycle and documentation requirements.
• Understanding of credentialing standards (e.g., CMS, state Medicaid, NCQA, or URAC requirements).
• Strong organizational skills and attention to detail.
• Analytical skills to review documentation for completeness and compliance.
• Ability to manage multiple projects and deadlines simultaneously.
• Effective written and verbal communication skills.
• Ability to collaborate cross-functionally with Contracting, Credentialing, Compliance, and delegated provider entities.
• Proficiency in Microsoft Office and contract tracking systems.

PHYSICAL DEMANDS

• Rarely (1 - 10% of the time): CLIMB - STAIRS LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
• (11 - 33% of the time): CLIMB - STAIRS LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
• (34 - 66% of the time): CLIMB - STAIRS LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
• (67 - 100% of the time): CARRY 1-handed, 0 - 20 pounds
• Frequently (34 - 66% of the time): BEND FORWARD at waist
• Frequently (34 - 66% of the time): KNEEL (on knees)
• Frequently (34 - 66% of the time): STAND WALK - LEVEL SURFACE
• Frequently (34 - 66% of the time): ROTATE TRUNK
• Frequently (34 - 66% of the time): SIT
• Frequently (34 - 66% of the time): REACH - Upward
• Frequently (34 - 66% of the time): PUSH (0 - 20 pounds force)
• Frequently (34 - 66% of the time): PULL (0 - 20 pounds force)
• Continually (67 - 100% of the time): MANUAL DEXTERITY Hands/wrists
• Continually (67 - 100% of the time): FINGER DEXTERITY PINCH
• Continually (67 - 100% of the time): GRASP Hand/Fist