Healthcare Credentialing & Payor Contracts Lead

BD; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

BD is seeking a Contract Administration Supervisor to lead credentialing, provider enrollment and health plan filing processes in a fast-paced healthcare environment. You will guide payor interactions and ensure accurate contract administration.

You will review contracts, maintain records, and support compliance with Medicare and state requirements while developing team capabilities and maintaining high quality standards.

Qualifications

• Minimum 2 years in healthcare credentialing, provider enrollment, payer contracting, or revenue cycle management.
• Minimum 1 year of supervisory or team lead experience.
• Experience managing credentialing and provider enrollment processes.
• Experience with health plan filing and state licensing requirements.

Responsibilities

• Manage application, credentialing and health plan filing processes with timely submissions.
• Provide guidance for payor escalations and interactions with payors.
• Maintain records and safeguard confidential information.
• Review payer contracts and prepare worksheets and reimbursement analyses.
• Support in building a database of contractual requirements for providers.

Skills

Supervisory experience

Contract analysis

Payer/contracting knowledge

Communication skills

Attention to detail

Education

Associate’s or higher in Business Administration or Healthcare Administration

CPCS/CPMSM or similar credentialing certification

High School Diploma or GED

Tools

Microsoft Office Suite

Excel

Access (database)

Payer portals

CAQH/PECOS enrollment systems

Job description

BD is seeking a Contract Administration Supervisor to lead credentialing, provider enrollment and health plan filing processes in a fast-paced healthcare environment. You will guide payor interactions and ensure accurate contract administration.

You will review contracts, maintain records, and support compliance with Medicare and state requirements while developing team capabilities and maintaining high quality standards.