Provider Administrator

Under direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management and intake requests.

Research, resolve, document and accurately respond to provider, practice, business parter or administor inquires and service requests.

Communicate and coordinate with providers, practices and other departments to ensure accurate information is available to support business needs.

Manage the Committee meetings set up, document Committee findings in the formal meeting minutes and notify staff of Committee decisions.

Monitor and maintain critical provider information in various systems. Review team member quality assurance reports on a regular basis and working with leadership to prepare follow-up documentation.

Act as first-level intake and triage for incoming provider call line, data clean-up efforts and specified team email box requests.

Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy.

Gain industry knowledge to support internal and external business partner relationships.

Support the recredentialing process and audit support functions to NCQA and client standards.

Ensure requested information is delivered within specified timeframe and completed accurately.

Maintain high standards in all written or verbal communications with providers.


Job Specifications

Typically has the following skills or abilities:

Two to four years of general office experience

Proficient with word and spreadsheet applications

Ability to read and write at a level necessary to accomplish the above tasks

Demonstrated ability to identify problems and provide creative solutions

Strong attention to detail, organizational skills and problem solving skills

Excellent written and verbal communication skills

Ability to work independently and in a team environment

For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment

#LI-VISIONCARE

Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here. 

Salary Ranges: $17.85 - $28.88

Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws.

Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 

We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities. 

As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees.  VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.