COPE Health Solutions
Provider Relations Coordinator
COPE Health Solutions, Fresno, California, United States, 93650
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.
Position Description
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. You can 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 brings 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/.
FLSA Status: Non‑Exempt
Salary Range: $23.00 – $29.00 per hour
Reports To: Assistant Vice President – IPA Leadership
Direct Reports: No
Location: Fresno, CA
Travel: Up to 80%
Work Type: Regular, Full Time
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Position Description
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. You can 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 brings 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/.
FLSA Status: Non‑Exempt
Salary Range: $23.00 – $29.00 per hour
Reports To: Assistant Vice President – IPA Leadership
Direct Reports: No
Location: Fresno, CA
Travel: Up to 80%
Work Type: Regular, Full Time
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