Managed Care Coordinator: Credentialing & Contracts

PAC; Salt Lake City (UT); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plan

Employee assistance program

Job summary

PACS is seeking a Specialist/Coordinator to maintain contracting platforms and support the Managed Care Department with credentialing and contract-related tasks. The role involves submitting credentialing documents, updating facilities on contract status, and educating teams on contract access.

Responsibilities include maintaining credentialing status, auditing certifications, registering facilities with SAM.gov, and coordinating with MNS on authorization and claims access.

Qualifications

• Maintain credentialing status for facilities with Health Plans.
• Submit credentialing applications and required documentation timely.
• Register and renew facilities with SAM.gov and track status.

Responsibilities

• Assist with loading contracts and notifying facilities about contracting updates.
• Maintain documentation and audits of credentials and licenses.
• Coordinate with MNS and Health Plan teams on credentialing activities.

Skills

Credentialing

Health plans

Contracting

Data management

Tools

Credentialing Point

Job description

PACS is seeking a Specialist/Coordinator to maintain contracting platforms and support the Managed Care Department with credentialing and contract-related tasks. The role involves submitting credentialing documents, updating facilities on contract status, and educating teams on contract access.

Responsibilities include maintaining credentialing status, auditing certifications, registering facilities with SAM.gov, and coordinating with MNS on authorization and claims access.