Strategic Managed Care & Credentialing Coordinator

PACS in; Salt Lake City (UT); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Coverage

PTO and Holidays

Health Savings Accounts (HSA) and Flex

401(k) with company contributions

Employee Assistance Plan (EAP)

Job summary

PACS is seeking a Managed Care Coordinator to maintain contracting platforms and support the Managed Care Department with Health Plan applications and credentialing documentation. The role focuses on credentialing for Skilled Nursing Facilities, coordinating with Health Plans, and loading contracts while ensuring timely filings and compliance.

It also covers MNS training setup and data management across facilities.

Qualifications

• Experience maintaining credentialing status with Health Plans and submitting required documentation.
• Auditing certifications and updating Health Plans for compliance.
• Coordinate credentialing across facilities and contracts.

Responsibilities

• Maintain credentialing status for facilities with Health Plans; submit applications and docs timely.
• Manage the Credentialing Point data and load contracts properly.
• Register and renew facilities with SAM.gov; track status.
• Assist with Health Plan contracting process and facility notifications.
• Support MNS setup and training for authorization and claims access.
• Coordinate with MNS on loading credentialing documents and keep records updated.

Skills

Credentialing processes

Contracting support

Data management

Tools

Credentialing Point

SAM.gov

Job description

PACS is seeking a Managed Care Coordinator to maintain contracting platforms and support the Managed Care Department with Health Plan applications and credentialing documentation. The role focuses on credentialing for Skilled Nursing Facilities, coordinating with Health Plans, and loading contracts while ensuring timely filings and compliance.

It also covers MNS training setup and data management across facilities.