The Provider Data Coordinator II is responsible ensuring the accuracy and integrity of the provider data activity for all lines of business. This position will provide oversight to ensure accurate and timely provider updates are made in Tapestry and SHPs credentialing system consistent with regulatory requirement, including, but not limited to provider demographics, provider contract set up, account information, group assignment, etc. The Provider Data Coordinator II interfaces with cross functional teams and serves as unit liaison with multiple departments, such as Member Services, IT, Managed Care Contracting, Office of the CVO and externally with providers.
This position is responsible for executing strategies to enhance relations between current medical staff physicians and potential physician partners. This includes developing strong relationships between the Plan and community-based physicians throughout the service area to increase the Plan's market share by achieving growth targets for key service lines and reducing outmigration.