Managed Care Credentialing & Contracts Specialist

PACS Group (United Kingdom); United States; In loco; USD 55.000 - 85.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

PTO and holidays

401(k) plan with company contributions

Descrizione del lavoro

PACS Group is seeking a Specialist/Coordinator to manage contracting platforms and credentialing submissions for affiliated facilities within its Managed Care operations. You will educate teams on accessing contracts and maintain compliance across credentialing activities.

Responsibilities include maintaining Health Plan credentialing status, loading contracts, registering facilities with SAM.gov, and coordinating with MNS and training teams to ensure timely access to contracts.

Competenze

• Knowledge of healthcare credentialing processes.
• Experience with health plans and contracting.
• Strong attention to detail and compliance.

Mansioni

• Maintain credentialing status of facilities with Health Plans by submitting credentialing applications and required documents.
• Manage and audit credentialing records and licenses to ensure compliance.
• Assist Managed Care Department with Health Plan contracting, filing, and notifying facilities.

Conoscenze

Credentialing knowledge

Healthcare administration

Communication

Strumenti

Credentialing Point

SAM.gov

Descrizione del lavoro

PACS Group is seeking a Specialist/Coordinator to manage contracting platforms and credentialing submissions for affiliated facilities within its Managed Care operations. You will educate teams on accessing contracts and maintain compliance across credentialing activities.

Responsibilities include maintaining Health Plan credentialing status, loading contracts, registering facilities with SAM.gov, and coordinating with MNS and training teams to ensure timely access to contracts.