Practitioner Management Coordinator I

Practitioner Management Coordinator I

Hybrid 1 : This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Location(s) : Latham, NY, Boston, MA

Work Shift : Monday - Friday (8 : 00 AM 5 : 00 PM local time)

The Practitioner Management Coordinator I is responsible for obtaining and processing related documents to ensure credentialing, licensing, and (re)appointment activities for Carelon Health employed practitioners are completed in accordance with established protocols and departmental policies and procedures.

How you will make an impact :

• Maintains files and electronic records. Communicates with associates, facilities, and other entities to resolve issues.
• Communicates with hospitals regarding initial or re-appointments, ensuring and coordinating proctoring as needed.
• Assures all dues and fees are paid timely.
• Tracks and processes license renewals, including address changes, status changes, and name changes.
• Researches new application requirements, processes documents, manages timelines, and generates status reports.
• CAQH access & updates
• Collaborative Agreements

Minimum Requirements

Requires a high school diploma or equivalent and a minimum of 3 years of experience in credentialing or provider / practice management or related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

For candidates working in person or virtually in the below location(s), the salary

Locations : Massachusetts; New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level : Non-Management Non-Exempt

Workshift : 1st Shift (United States of America)

Job Family : PND >

Credentialing & Licensing