Senior Provider Relations Coordinator

HCSC; Helena (MT); Hybrid; USD 52,000 - 72,000; Full time

Job summary

HCSC is seeking a detail-driven professional to manage contracting, credentialing, and maintenance of provider data across multiple lines of business. The role involves handling provider inquiries, rosters, and contracts, with emphasis on accurate data maintenance and timely resolutions.

Responsibilities include extensive communication with providers via email and phone, using Salesforce for case management, and coordinating with Network Contracting and Provider Data Management teams to support

Qualifications

• Bachelor’s degree AND 2 years managed care operations experience handling independent work, OR 6 years of relevant experience.
• Ability to work in office in Helena Montana.

Responsibilities

• Manage contracting, credentialing, and provider data for multiple lines of business.
• Handle high volume provider communications via email and phone; document in Salesforce.
• Collaborate with Network Contracting, Provider Data Management, and providers to support credentialing and network activities.
• Maintain a large caseload with timely resolution of provider issues.

Education

Bachelor’s degree

Tools

Salesforce

Job description

Flex

MT - Helena

Full time

R0056220

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for the contracting, credentialing, and maintenance of professional provider data to support marketing, membership, and network contracting across all lines of business. This includes providing accurate and timely administration of provider contracts, rosters, provider inquiries, and requests while supporting quality initiatives to ensure data accuracy. Responsibilities include managing high-volume provider communications through email and phone, utilizing Salesforce for case management and documentation, participating in internal provider meetings and work groups, and researching issues related to provider credentialing, claims escalations, provider data, and network participation. The role also includes working as a liaison between Network Contracting, Provider Data Management, and providers to support credentialing, network activities, provider outreach, and operational initiatives while maintaining a large caseload and ensuring timely resolution of provider issues.

Required Job Qualifications

• Bachelor’s degree AND 2 years managed care operations experience handling independent work, OR 6 years of relevant experience.

• Ability to work in office in Helena Montana.

Preferred Job Qualifications

• 2 years' experience managing a high volume of provider inquiries and issue resolution through email and phone communication.

• 2 years' proven proficiency with Salesforce for case management, documentation, and provider correspondence.

• Advanced Microsoft Office skills, particularly Outlook, Excel, Word, and Teams, with the ability to create professional written communications.

• Experience drafting and sending clear, professional email communications to providers and external stakeholders.

• Ability to manage a large caseload simultaneously (90+ open cases) while meeting deadlines and maintaining attention to detail.

• Experience in resolving provider claims issues and escalations that could not be resolved through standard customer service channels.

• Strong organizational and time management skills with the ability to prioritize competing responsibilities.

#LI- Hybrid

#LI-KW1

#INAK

Sponsorship is not available

This is FLEX role that requires 3 days in the Helena Montana Office and 2 days remote

Pay Transparency Statement:

• From health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance