Managed Care Credentialing & Contracts Specialist

PACS Group; Salt Lake City (UT); In loco; USD 42.000 - 65.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health Coverage

PTO and Vacation

Financial Wellness (HSA / FSA)

Retirement Planning (401(k))

Employee Assistance Plan (EAP)

Descrizione del lavoro

PACS Group is seeking a Specialist/Coordinator to manage contracting platforms and credentialing for affiliated facilities. You will support the Managed Care Department by submitting Health Plan applications, credentialing documents, and guiding facilities on contract access.

This role emphasizes credentialing accuracy, file maintenance, and coordination with MNS and SAM.gov registrations to ensure timely updates and compliance across our national network.

Competenze

• Maintains credentialing status by submitting applications and required docs on time.
• Maintains shared drive with facility credentials and licenses, auditing for compliance.
• Supports Health Plan contracting with proper filing and contract loading.
• Registers and tracks SAM.gov registrations for facilities.

Mansioni

• Maintain Facility profiles and documents in Credentialing Point.
• Assist with MNS training for authorizations and claims access.
• Coordinate with MNS on new or revised credentialing documents.
• Complete Health Plan Credentialing documents in Credentialing Point.

Conoscenze

Credentialing

Contracting support

Data management

SAM.gov registrations

Health plan familiarity

Strumenti

Credentialing Point

SAM.gov

Descrizione del lavoro

PACS Group is seeking a Specialist/Coordinator to manage contracting platforms and credentialing for affiliated facilities. You will support the Managed Care Department by submitting Health Plan applications, credentialing documents, and guiding facilities on contract access.

This role emphasizes credentialing accuracy, file maintenance, and coordination with MNS and SAM.gov registrations to ensure timely updates and compliance across our national network.