Job Description
Credentialing and Payor Contracting Specialist (Full-Time)
Admin & Support (Operations, Accounting, HR, HIM, Marketing) Johnston, Iowa
Apply
Description
This is a newly created role responsible for overseeing end-to-end provider and entity credentialing, pay o r enrollment, and medical staff privileging to ensure timely and accurate participation with Medicaid, MCOs, and commercial payors. The position also supports pay o r contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partnership with key internal teams.
How You’ll Have an Impact
Payor Credentialing & Enrollment
+ Manage end-to-end credentialing and enrollment of organizational entities with Medicaid, MCOs, and commercial payors.
+ Credential and recredential physicians, advanced practice providers (APPs), and other clinical providers with all applicable payors.
+ Maintain credentia...
Admin & Support (Operations, Accounting, HR, HIM, Marketing) Johnston, Iowa
Apply
Description
This is a newly created role responsible for overseeing end-to-end provider and entity credentialing, pay o r enrollment, and medical staff privileging to ensure timely and accurate participation with Medicaid, MCOs, and commercial payors. The position also supports pay o r contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partnership with key internal teams.
How You’ll Have an Impact
Payor Credentialing & Enrollment
+ Manage end-to-end credentialing and enrollment of organizational entities with Medicaid, MCOs, and commercial payors.
+ Credential and recredential physicians, advanced practice providers (APPs), and other clinical providers with all applicable payors.
+ Maintain credentia...