Provider Relations Coordinator

copehealthcareconsulting; Fresno (CA); On-site; USD 37,195 - 39,950; Full time

Benefits offered by this job

Wellness stipend

Paid parental leave

Comprehensive health insurance

Job summary

COPE Health Solutions is seeking a Provider Relations Coordinator in Fresno, CA to support contracting and credentialing operations. You will collaborate with Business Development Managers and internal teams to onboard providers, maintain records, and ensure compliance across the IPA network.

The role requires 2+ years in healthcare provider relations or related areas, strong organizational skills, and experience with credentialing standards.

Qualifications

• Associate or bachelor’s degree preferred (or equivalent work experience).
• 2+ years of experience in healthcare provider relations, contracting, credentialing, or MSO/IPA operations.
• Familiarity with CAQH, CMS, NCQA credentialing standards.
• Strong organizational and time-management skills with attention to detail.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office; Salesforce/CRM experience a plus.
• Ability to manage multiple priorities and meet deadlines while supporting team goals.

Responsibilities

• Assist BDMs in preparing, tracking, and processing provider participation agreements.
• Manage contract packets and ensure all required forms and addenda are included.
• Maintain contract status logs and follow up on outstanding agreements.
• Coordinate with providers and practice managers to collect signatures and ensure timely completion.
• Review credentialing submissions for completeness (licenses, DEA, malpractice insurance, board certifications, CAQH attestation).
• Proactively outreach to providers/practice staff to obtain missing or expired documents; liaise with ProSource MSO for packet submissions.
• Track credentialing and recredentialing timelines, ensuring compliance with payer and regulatory standards.
• Enter and update provider data in CRM/roster systems and generate status reports.
• Monitor expirables (licenses, DEA, malpractice) and support audits with documentation.
• Provide scheduling support for meetings and trainings; assist with travel logistics as needed.
• Provide cross-coverage for other coordinators during peak contracting/credentialing periods.

Skills

Strong organizational skills

Time-management

Excellent verbal and written коммуника

Ability to manage multiple priorities

Independent work style

Customer service mindset

Education

Associate or bachelor’s degree preferred (or equivalent work experience)

Tools

Salesforce

CRM

Microsoft Office Suite

Job description

The Provider Relations Coordinator plays a key role in supporting the contracting and credentialing operations of CHS IPA. This position partners closely with Business Development Managers and other internal teams to ensure timely onboarding, compliance, and engagement of network providers. The Coordinator serves as a vital liaison between COPE Health Solutions and its provider community, helping to strengthen relationships and ensure operational excellence across the IPA network.

FLSA Status: Non-Exempt

Salary Range: $27.00 - $29.00 per hour

Reports To: Assistant Vice President – IPA Leadership

Direct Reports: No

Location: Fresno, CA

Travel: Up to 80%

Work Type: Regular

Schedule: Full Time

Position Description

Contracting & Provider Support

• Assist BDMs in preparing, tracking, and processing provider participation agreements.


• Manage contract packets, ensuring all required forms and addenda are included.


• Maintain contract status logs and follow up on outstanding agreements.


• Coordinate with providers and practice managers to collect signatures, answer questions, and ensure timely completion.

Credentialing & Document Management

• Review all credentialing submissions for completeness (e.g., licenses, DEA, malpractice insurance, board certifications, CAQH attestation).


• Proactively outreach to providers/practice staff to obtain missing or expired documents.


• Liaise with ProSource MSO to submit credentialing packets and resolve deficiencies.


• Track credentialing and recredentialing timelines, ensuring compliance with payer and regulatory standards.


• Maintain organized digital records within Salesforce/CRM or shared systems.

Provider Communication & Relationship Management

• Serve as a first-line contact for provider inquiries related to contracting and credentialing.


• Support scheduling of provider recruitment meetings and orientations.


• Coordinate logistics for provider information sessions, community meetings, and trainings.


• Deliver excellent customer service to enhance provider satisfaction and engagement.

Data Entry & Reporting

• Enter and update provider demographic, contract, and credentialing data in CRM/roster systems.


• Generate weekly/monthly reports on contract pipeline, credentialing status, and onboarding progress.


• Flag potential delays or risks in contracting/credentialing workflows for BDM and leadership review.


• Ensure accuracy of provider data for network adequacy reporting and payer submissions.

Compliance & Quality Assurance

• Monitor expirables (licenses, DEA, malpractice, etc.) and send reminders ahead of deadlines.


• Ensure all provider records comply with internal policies, payer requirements, and audit standards.


• Support internal and external audits by providing documentation and status updates.

Administrative & Team Support

• Manage calendars, outreach campaigns, and follow-ups for BDMs.


• Prepare meeting materials, presentations, and contracting reports.


• Assist with travel logistics, event coordination, and expense submissions as needed.


• Provide cross-coverage for other coordinators during peak contracting/credentialing periods.

Qualifications

• Associate or bachelor’s degree preferred (or equivalent work experience).


• 2+ years of experience in healthcare provider relations, contracting, credentialing, or MSO/IPA operations.


• Familiarity with CAQH, CMS, NCQA, and managed care credentialing standards.


• Strong organizational and time-management skills with attention to detail.


• Excellent verbal and written communication skills.


• Proficiency in Microsoft Office Suite; experience with Salesforce or CRM a plus.


• Ability to manage multiple priorities, meet deadlines, and work independently while supporting team goals.

Benefits

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness‑related activities and a paid parental leave program. Learn more about our benefits offerings at https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions

COPE Health Solutions is a national tech‑enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team bring deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de‑risks the roadmap to advanced value‑based payment and improves quality and financial performance for providers, health plans and self‑insured employers. For more information, visit CopeHealthSolutions.com.

To Apply

To apply for this position or for more information about COPE Health Solutions, visit https://copehealthsolutions.com/careers/open-positions/.