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Provider Contract & Credentialing Coordinator

Corvallis, OR
Pay
$21.98 - $32.27
Work Arrangement
Remote
Experience
3 years in healthcare contracting, provider network operations, credentialing, or related managed care; contract administration and credentialing process experience required
Education
High school diploma or equivalent required

Provider Contract & Credentialing Coordinator

Remote support for provider contract and credentialing administration, tracking, system configuration, and delegated credentialing audits. Requires a high school diploma and 3 years of healthcare contracting, provider network operations, credentialing, or related managed care experience.

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.

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.

This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin.
  • JOB SUMMARY/PURPOSE
    • The Provider Contract & Credentialing Coordinator is responsible for supporting the administration, tracking, and maintenance of provider contracts and related documentation. The position coordinates contract workflow activities, ensures accurate system configuration, and assists with oversight and communication with delegated entities related to credentialing requirements. Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider groups to ensure contractual, credentialing oversight, and regulatory obligations are met. Acts as the credentialing auditor for delegated provider groups.
  • 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)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 - 100% of the time)

      CLIMB - STAIRS

      LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

      LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      BEND FORWARD at waist

      KNEEL (on knees)

      STAND

      WALK - LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0 - 20 pounds force)

      PULL (0 - 20 pounds force)

      SIT

      CARRY 2-handed, 0 - 20 pounds

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist
Experience
3 years in healthcare contracting, provider network operations, credentialing, or related managed care; contract administration and credentialing process experience required
Education
High school diploma or equivalent required
Physical Requirements
Lift, carry, push, and pull 0–20 lbs; climb stairs, bend, kneel, stand, walk, sit, reach, rotate trunk, and use manual/finger dexterity

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