Healthcare Contracting & Credentialing Lead

Agility Billing Services, LLC; Melville (NY); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Salary bonus potential

Job summary

Agility Billing Services, LLC is expanding a dedicated Contracting & Credentialing function and seeking a Contracting & Credentialing Manager to lead it. You will own payer contracting and provider enrollment across our client portfolio and establish scalable, standardized workflows.

Responsibilities include negotiating contracts with major payers across NY, NJ, and CT, guiding credentialing and enrollment, and helping grow the service line through process improvement and staff development.

Qualifications

• 5+ years of experience in healthcare payer contracting and/or provider credentialing.
• Experience with NY/NJ/CT managed care and No Surprises Act/IDR framework.
• Hands-on use of CAQH, PECOS/NPPES, and credentialing portals.
• Strong contract review and negotiation abilities.
• Excellent organizational skills and multitasking across multiple contracts.

Responsibilities

• Lead negotiation, renewal, and management of payer contracts across NY, NJ, and CT.
• Analyze fee schedules to identify underpayment risk and opportunities.
• Track in-network status and contract renewal/termination windows across client accounts.
• Advise on No Surprises Act/IDR exposure tied to contracting gaps.
• Stay current on state managed care regulations (NY DFS, NJ C.32/Maximus, CT DOI).
• Own end-to-end credentialing and re-credentialing for providers across client accounts (CAQH, NPI/PECOS, licensure).
• Build standardized workflows to support turnaround and accuracy across accounts.
• Coordinate timely enrollment for newly hired providers to minimize revenue delays.
• Serve as primary liaison to payer provider relations/network management teams.
• Help define and refine this service line as part of the company’s growth strategy.
• Build onboarding processes for bringing new client accounts’ contracts and credentials into our systems.
• As the team grows, help hire, train, and manage credentialing/contracting staff.
• Report on contract performance, in-network status, and credentialing turnaround metrics.

Skills

Negotiation skills

Organizational skills

Excel proficiency

Education

CPCS (Certified Provider Credentialing Specialist) or CPMSM certification

CPC or similar coding/billing credential

Tools

CAQH

PECOS/NPPES

Job description

Agility Billing Services, LLC is expanding a dedicated Contracting & Credentialing function and seeking a Contracting & Credentialing Manager to lead it. You will own payer contracting and provider enrollment across our client portfolio and establish scalable, standardized workflows.

Responsibilities include negotiating contracts with major payers across NY, NJ, and CT, guiding credentialing and enrollment, and helping grow the service line through process improvement and staff development.