Healthcare Credentialing & Contracts Supervisor

BD; Delaware; Vor Ort; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

BD is seeking a Contract Administration Supervisor to oversee application, credentialing and health plan filing processes and to guide payor escalations and contract terms questions. This role ensures timely responses, QA, and adherence to policy while managing team performance and daily productivity.

The ideal candidate will have healthcare credentialing experience, supervisory experience, and strong knowledge of CAQH/PECOS with advanced MS Office skills.

Qualifikationen

• High School Diploma or GED required.
• Minimum 2 years of experience in healthcare credentialing, provider enrollment, payer contracting, or revenue cycle management.
• Minimum 1 year of supervisory or team lead experience, including responsibility for work direction, performance management, and employee development.
• Demonstrated experience managing credentialing and provider enrollment processes.
• Experience with health plan filing and state licensing requirements.

Aufgaben

• Manage the application, credentialing and health plan filing processes, ensuring timely and accurate submissions.
• Provide guidance and information for payor escalations and contract terms questions.
• Maintain records of company and employee information and safeguard confidential data.
• Review payer contracts and prepare worksheets and reimbursement analyses for legal/executive review.
• Support creation/maintenance of a database of contractual requirements for provider obligations.

Kenntnisse

Contract analysis

Analytical thinking

Communication

Time management

Organization

Ausbildung

High School Diploma or GED

Associate's or higher in Business/Healthcare administration

Tools

CAQH

PECOS enrollment

Microsoft Office Suite

Access database

Payer portals

Jobbeschreibung

BD is seeking a Contract Administration Supervisor to oversee application, credentialing and health plan filing processes and to guide payor escalations and contract terms questions. This role ensures timely responses, QA, and adherence to policy while managing team performance and daily productivity.

The ideal candidate will have healthcare credentialing experience, supervisory experience, and strong knowledge of CAQH/PECOS with advanced MS Office skills.