Managed Care Credentialing & Coordination Specialist

Via Care Community Health Center; Los Angeles (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

Via Care Community Health Center is seeking a Managed Care Coordinator to provide operational support across contracted IPAs, MSOs, and health plans. You will assist with credentialing submissions, monitor IPA portal activity, pull membership reports, track enrollment data, and ensure provider alignment across payor relationships.

Managed Care experience is desirable. The role emphasizes collaboration with external teams to ensure accurate provider assignments, panel oversight, and uninterrupted

Qualifications

• Managed Care experience is desired.

Responsibilities

• Prepare, submit, and track credentialing applications to IPAs and MSOs (medical, behavioral health, and dental).
• Support credentialing inquiries.
• Assist in the onboarding of new providers and timely submission of credentialing applications.
• Complete required IPA/MSO attestations and compliance documentation.
• Attend key credentialing meetings and provide updates on application status and provider alignment.
• Attend scheduled IPA and health plan meetings related to credentialing, panel updates, and member alignment.
• Retrieve and compile monthly enrollment reports from IPA portals.
• Monitor provider panel openings/closures and notify internal teams accordingly.
• Work directly with health plans regarding member lists requiring outreach or reassignment.
• Escalate discrepancies or risk areas to CIGO as appropriate.
• Track provider assignments by IPA and health plan.
• Maintain updated records of supervising physicians for mid-level providers (NPs/PAs).
• Notify CIGO of any provider changes, terminations, supervision shifts, or allocation updates requiring review.
• Coordinate with Operations to ensure provider listings align with contracted IPA structures.
• Work closely with the Enrollment Lead to address member reassignment needs.
• Support transitions related to provider terminations, panel closures, or IPA changes.
• Assist with coordination of patient outreach to prevent disruptions in care.
• Ensure alignment between managed care updates and front-end operations.
• Maintain and update provider directory submissions/tracker for all contracted health plans.
• Ensure accurate provider data across IPA portals and health plan systems.
• Monitor and track IPA communications for policy or reporting updates.

Job description

Via Care Community Health Center is seeking a Managed Care Coordinator to provide operational support across contracted IPAs, MSOs, and health plans. You will assist with credentialing submissions, monitor IPA portal activity, pull membership reports, track enrollment data, and ensure provider alignment across payor relationships.

Managed Care experience is desirable. The role emphasizes collaboration with external teams to ensure accurate provider assignments, panel oversight, and uninterrupted