Contracts and Payor Credentialing Specialist

Overview

This 100% Remote, full-time position (Contracts & Payor Specialist) supports the identification and securing of public and private insurance contracts. The role also reviews and organizes existing contracts, helps develop potential relationships with strategic partners, and creates measurable business results for various markets.

Responsibilities

Contracting and Credentialing

• Work with the Director of Contracting and fellow Contracting and Payor Engagement Specialists to ensure consistency and secure public and private insurance contracts
• Analyze and monitor financial aspects of existing contracts and maintain original documentation of all contracts
• Identify, contact, and develop relationships with potential payors to result in new contracts and increased funding possibilities for program participants
• Describe services provided to potential contract sources
• Communicate with state directors and state operating/marketing staff regarding contract specifics, ensuring commitments to participants, family, referral sources, and payors are met
• Communicate contract executions and requirements to all internal departments
• Complete contract-related credentialing and enrollment application requirements
• Maintain a database of licenses, accreditation forms, financial, and organizational information to support efficient and timely enrollment applications
• Facilitate resolution of contract-related issues with the billing and collections team
• Perform other related duties and activities as required

Requirements

Education and Experience

• Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
• Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Compensation & Benefits

• $50,000–$55,000 salaried max

Location

• 100% Remote

Equal Opportunity Statement

As an equal opportunity employer, the organization does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.