OR - Provider Support Specialist - Remote

Job Title

Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures, benefits, policies, and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through. Document all provider interactions and outcomes in internal systems. Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates. Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed. Assist in maintaining accurate provider directories by validating demographic and operational information. Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns.

Department Description

The Network Management / Provider Relations department is responsible for developing, supporting, and maintaining relationships with the provider network across all product lines. The team ensures providers have the information, resources, and operational support needed to deliver high-quality care to plan members. The department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to resolve provider issues and improve overall provider satisfaction.

Experience/Education/Qualifications

Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required Strong organizational skills with the ability to manage multiple priorities effectively Excellent written and verbal communication skills Proficiency in Microsoft Office applications (Word, Excel, Outlook, PowerPoint) required Health plan experience strongly preferred, particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing

Knowledge/Skills/Abilities

Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientations

Shift: Days (0800-1700) Remote, no weekends

Specialty Type: Clerical

Sub Specialties: Clerical/Office Assistant/Support

General Certifications: N/A