Credentialing and Payor Contracting Specialist (Full-Time)
Admin & Support (Operations, Accounting, HR, HIM, Marketing) Johnston, Iowa

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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...