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Open nowPosted 22 hours ago

Contracts and Payor Credentialing Specialist

Sevita2,340 open roles

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Your applicationOpen nowContracts and Payor Credentialing SpecialistSevita

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The clock on this job

Early applications get read.

8.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 1.9%1 day
  2. 4.0%3 days
  3. 8.3%7 days
  4. 15.3%14 days
  5. 34.2%30 days
This job: posted 22 hours ago

The posting

Contracts and Payor Specialist - Remote The Contracts and Payor Specialist is responsible for identifying and securing public and private insurance contracts; reviews and organizes existing contracts. Assists with the development of potential relationships with strategic partners and creates measurable business results for various markets. Responsible for credentialing of licensed clinicians.    Contracting and Credentialing

Works in partnership with Program Directors and Director of Contracts and Payor Engagement to ensure consistency and secure public and private insurance contracts Analyzes and monitors financial aspects of existing contracts and maintains original documentation of all contracts Completes contract related credentialing and enrollment application requirements Identifies, contacts, and creates relationships with potential payors that result in new contracts and increased funding possibilities for program participants Conducts rate and contract negotiations Describes Client programs to potential contract sources Communicates with state directors, and state operating/marketing staff regarding contract specifics. Ensures commitments to participants, family, referral sources and payors are met Maintains database of licenses, accreditation forms, financial and organizational information for the purpose of efficient and timely enrollment application Oversees Single Case Agreement process within the Admissions Teams. May take lead in difficult single case negotiation

  Other Duties:

Communicates contract executions and requirements to all internal departments Facilitates resolution of contract related issues with billing and collections team Performs other related duties, projects, and activities as required

  Qualifications:

Bachelor’s degree in Rehabilitation Administration, Business Administration or related field preferred Three to five years’ experience with contracts, managed care, and health insurance related industry preferred Prior credentialing experience a must A reliable, responsible attitude and a compassionate approach A commitment to quality in everything you do Experience with CAQH a plus

  Why Join Us?

Full time position Full compensation/benefits package for employees working 32+ hours/week 401(k) with company match Paid time off and holiday pay Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers Enjoy job security with nationwide career development and advancement opportunities

  We have meaningful work for you – come join our team – Apply Today!  

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