Provider Contracts & Directory Admin Specialist

BCBS Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company; United States; On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to manage contracting documentation, maintain provider directories, and support network access and reporting. You will own contract inventories, validate against reimbursement schedules, and coordinate provider mail-outs while ensuring data integrity across profiles.

The role requires strong analytical, writing, and communication skills, plus experience in provider networks or provider office administration

Qualifications

• Bachelor’s degree in business field required.
• 2 years’ experience in provider networks or provider office administration or 2 years of customer service with BCBSMS.
• Strong diplomatic, conflict resolution and negotiating skills.
• Excellent analysis and issue resolution skills.
• Excellent business writing skills.
• Understanding of healthcare provider office management and business processes.
• Strong communication skills.
• Understanding of healthcare benefits and network products.
• PC skills including Microsoft Office suite.

Responsibilities

• Maintain provider contracting documentation and directory information to meet service needs.
• Own and maintain Network Provider Contract inventories and contract templates.
• Perform bi-annual validation against provider reimbursement schedules and maintenance of relational Network Provider profiles.
• Publish GeoAccess reports to support Network Access requests and SAS reports for claim activity and adjustments.
• Facilitate all provider contract changes, including provider manuals and contract updates.
• Coordinate and facilitate all provider-related mail-outs.
• Review provider categories and specialties in the online directory for accuracy.
• Credentialing activities related to Disease Specific Pharmacy providers.
• Back-up to Provider Service Specialist to ensure timely responses to provider inquiries.

Skills

Diplomatic skills

Conflict resolution

Negotiation

Analytical thinking

Issue resolution

Business writing

Healthcare provider management

Communication

Benefits knowledge

MS Office

Education

Bachelor’s degree in business field

Tools

Microsoft Office

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to manage contracting documentation, maintain provider directories, and support network access and reporting. You will own contract inventories, validate against reimbursement schedules, and coordinate provider mail-outs while ensuring data integrity across profiles.

The role requires strong analytical, writing, and communication skills, plus experience in provider networks or provider office administration