Contract & Credentialing Manager

BrightSpring Health Services

Do you have a passion for establishing partnerships and strategies in achieving organizational excellence? Our Business Development & Sales teams focus on developing strategic solutions to align and grow the business. Continue reading for information regarding this position and apply today!

Be responsible for identifying and solidifying managed care and other commercial product contract opportunities across the home care, home health and hospice business lines
• Work with local Executive Director leadership on rate negotiations specific to each branch
• Identify opportunities within payer plans, communicating value proposition of business line within plan product and demographic market both to payers, leadership and operations
• Work with leadership to create processes to support contract deliverables
• Articulate and work with Information Technology billing support to facilitate necessary report or data to facilitate contract award and compliance
• Obtain final approval and sign off through Vice President Contracting and Contract work flow
• Research, understand, and articulate regulatory requirements, deliverables as they pertain to Medicare and Medicaid across multi-state operations and execute on requests to drive operation growth
• Work with HomeCare, Home Health, and Hospice leadership to stay on top of and drive the changing payer landscape
• Complete and verify credentialing requirements for each plan
• Maintain fully executed contracts and other pertinent contract documents in share drive

• Bachelor's Degree in Business, Healthcare Administration or a related field is required
• Two to four years' experience in management