Coordinator, Provider Network Operations

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You'll Be Doing:

The Coordinator, Provider Network will be a dynamic role that will encompass overall support of data operations supporting our NIA line of business in areas including auth processing, client implementations, issue resolution, process improvement, and more. This position reports to the Manager.

Duties Will Include:

• Use data-driven decision-making skills to effectively prioritize day-to-day operations, project work, and address client requests and escalations

• Troubleshoot and work authorizations that suspend in the Facility Verification Queue for rendering provider verification

• Maintain contractual service level and/or operational level agreements, as applicable

• Cross-domain collaboration for issue troubleshooting, process improvement, and/or client implementation support

• Responsible for managing concurrent projects as assigned,

• Helping to maintain departmental documentation and identify areas for process improvement

• Function as subject matter expert internally and externally for our systems/technology, our operational processes, and our client processing rules

Key Competencies:

• Lives the values: Communicate with Candor, Start by Listening, Foster Inclusion, and Own the Opportunity

• Intermediate skills in the following Microsoft Office based environments:

o Excel

o Word

o PowerPoint

o Teams

o OneNote

o Outlook

• Excellent verbal and written communication skills

• Detail oriented with good organizational skills

• Ability to work in an agile space and adapt to fluctuating situations

• Takes initiative, fosters accountability, and works independently

• Ability to time-manage and reprioritize tasks/projects as appropriate

Qualifications (Required and Preferred):

• BA/BS preferred or equivalent work experience

• Minimum of one to two years' experience in healthcare field related to credentialing, provider enrollment, provider data management, provider services, claims or authorization processing, and/or configuration,

• General understanding of US health care, Managed Care Organizations, and/or Medicaid

• Prior experience with cross-domain collaboration and workstreams

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.

The expected base salary/wage range for this position is $22 per hour. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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