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Job Title:

Provider Contract Coordinator - SHP (Remote/Hybrid within SHP Service Area)

Cost Center:

682891544 SHP-Provider Network Mgmt

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; 8:00 am - 5:00 pm (United States of America)

Job Description:

JOB SUMMARY

The Provider Contract Coordinator – Security Health Plan (SHP) works in cooperation with the Provider Contract Specialists and other department and organization colleagues to deliver superior service to SHP’s comprehensive network of affiliated health care providers. This individual is responsible to assist in the provider affiliation and contracting activities for hospital, professional, vendor, care system and/or ancillary providers including: coordination of the provider affiliation and termination process, provider outreach for contractual and regulatory requirements, contract document and timeline management, as well as accreditation initiatives.

JOB QUALIFICATIONS

EDUCATION

_For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation._

**Minimum Required:** Associate degree or 60+ credits in health care, business, marketing, education, or related field.

**Preferred/Optional:** Bachelor's degree in business administration, accounting, health care, finance, or related field.

EXPERIENCE

**Minimum Required:** Two years’ experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with data entry, customer service, claims processing, billing, provider relations, credentialing or contracting. Demonstrated proficiency with the Microsoft Office suite, especially Microsoft Excel.

**Preferred/Optional:** Experience in payor and/or provider contracting, including professional services, facility, lab, Federally Qualified Health Centers, dental services, and financial analysis.

CERTIFICATIONS/LICENSES

_The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._

**Minimum Required:** None

**Preferred/Optional:** None

This will be a hybrid position - majority remote with ability to come onsite as needed

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.

Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.