Provider Relations Coordinator

Position Overview

True North HealthWorks is seeking a highly organized and proactive Provider Relations Coordinator to support our growing network of healthcare providers and payer relationships. This role is responsible for managing health plan interactions, supporting contract negotiations, conducting payer research, and coordinating projects that enhance provider engagement and operational efficiency.

The ideal candidate is detail-oriented, analytical, and comfortable working cross-functionally.

Key Responsibilities

Provider & Health Plan Relations

• Lead and support contract negotiations with health plans, including reimbursement rates, terms, and participation requirements to ensure favorable outcomes for providers
• Serve as a primary point of contact for health plan communications and provider-related inquiries
• Build and maintain strong relationships with payer representatives and provider partners
• Responsible for maintaining positive working relationships with provider clients and office staff

Contracting Support

• Maintain accurate records of contract statuses, renewals, and requirements
• Collaborate with internal teams to ensure timely submission of credentialing and contracting documents

Health Plan Research & Analysis

• Conduct research on health plans, reimbursement structures, and network requirements
• Monitor payer updates, policy changes, and market trends
• Compile and present findings to support strategic decision-making for clients and TNHW

• Project Management
• Manage multiple projects related to provider relations, contracting, and payer initiatives
• Develop timelines, track deliverables, and ensure deadlines are met
• Collaborate across departments to implement process improvements
• Maintain detailed records of completed work to support accurate and timely invoicing for services

Data Management & Reporting

• Maintain databases related to provider contracts and payer information
• Generate reports on contracting status, network participation, and project progress
• Identify opportunities to improve workflows and operational efficiency

Qualifications

• 2+ years of experience in provider relations, healthcare operations, contracting, or payer relations
• Strong understanding of health plan structures, credentialing, and contracting processes
• Excellent organizational and project management skills
• Strong analytical and research abilities
• Proficiency in Microsoft Office (Excel, Word, Outlook); CRM or project management tools preferred
• Exceptional communication and interpersonal skills

Preferred Qualifications

• Experience working with multiple health plans and provider networks
• Familiarity with healthcare compliance and regulatory requirements
• Experience with successful insurance contract negotiations
• Understanding of government and private fee schedules

Key Competencies

• Attention to detail and accuracy
• Ability to manage multiple priorities and deadlines
• Problem-solving and critical thinking
• Initiative and ability to work independently
• Strong collaboration and teamwork skills
• Effective communication skills; verbal and written

Salary Range

• $24.00- $27.00 per hour
• Full Time, on-site in Visalia, CA.

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