Skip to main content
Provider Relations-Networking-Contracting WellCare - Provider Administration & Support Careers

Ancillary Coordinator Job

Full Job Title: Ancillary Coordinator, Sr

Job Number: 1703793

Location: Tampa, FL

Date Posted: 8-24-2017

Department: Operations - National Contracting

Reports to: Sr. National Vendor Management

Location: 8735 Henderson Road, Tampa FL 33634

Coordinates and controls the workflow occurring in and out of the department. Tracks and reviews contracts and credentialing information within the unit. Coordinates with other functional departments as required.

Essential Functions:
  • Reviews contracts, addendums and amendments for completeness and appropriate approval and signatures.
  • Ensures credentialing information is complete based on the requirements of the specific provider type.
  • Audits contract pricing and configuration to ensure the terms of agreement have been loaded accurately.
  • Updates systems with contract with correct naming convention.
  • Works with internal and external partners to resolve issues concerning contract loads.
  • Tracks re-credentialing and vendor roster requests coming into the department.
  • Researches and resolves routine provider operational issues with internal and external partners.
  • Troubleshoots claims issues with internal and external partners.
  • Oversees the monthly receipt of Third Party Vendor files.
  • Elevates and works with Vendor Account Managers regarding member calls concerning eligibility.
  • Supports manager with boarding and training of new coordinators
  • Pulls daily reports from the NAS log review for tracking and trending, and alerts the vendor account manager to ongoing issues
  • Serves as Omni Flow SME
  • Maintains tools Step Actions and Job Aids
  • Reviews naming convention and effective date of Agreements and Amendments and work with coordinators to assure their vendors Agreements and Amendments are up to date.
  • Performs special projects as assigned or directed
Additional Responsibilities:Candidate Education:
  • Required An Associate's Degree in a related field or equivalent work experience
  • Additional 1 year of experience in a managed care environment with a focus on provider relations, configuration, credentialing, vendor oversight, vendor auditing or related ancillary experience
  • Preferred A Bachelor's Degree in a related field
Candidate Experience:
  • Required 3 years of experience in a managed care environment with a focus on provider relations, configuration, credentialing, vendor oversight, vendor auditing or related ancillary experience
  • Required Other 9 months Creating plf's, working with vendors
Candidate Skills:
  • Intermediate Demonstrated written communication skills Solid oral and written communication skills sufficient to clearly convey messages
  • Intermediate Demonstrated interpersonal/verbal communication skills
  • Intermediate Demonstrated organizational skills
  • Intermediate Demonstrated problem solving skills
  • Intermediate Ability to effectively present information and respond to questions from peers and management
  • Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
  • Intermediate Ability to multi-task
  • Intermediate Ability to work within tight timeframes and meet strict deadlines
  • Intermediate Knowledge of community, state and federal laws and resources
  • Intermediate Ability to proof large bodies of materials
  • Intermediate Demonstrated problem solving skills
Licenses and Certifications:
A license in one of the following is required:
Technical Skills:
  • Required Intermediate Microsoft Word Proficient in Microsoft Office such as Word, Excel and Outlook
  • Required Intermediate Microsoft Excel
  • Required Intermediate Microsoft Outlook
Languages:

Back to top

Join Our
Talent Network

and receive job alerts
Click Here
Last Updated On: 12/9/2015