LittleRockRecruiter Since 2001
the smart solution for Little Rock jobs

SelectHealth Provider Credentialing Contract Specialist- Remote (Open)

Company: Intermountain Healthcare
Location: Little Rock
Posted on: November 25, 2022

Job Description:

**Job Description:**



This position facilitates the development and execution of contracts under the supervision of the Provider Development Operations Manager. These responsibilities include the drafting, implementation, tracking, and updating of participating provider contracts for SelectHealth and maintaining appropriate records of these activities. This position contributes to the oversight and management of provider contracts for SelectHealth and serves as a liaison between SelectHealth and affiliated providers.



The Provider Credentialing Coordinator is responsible for facilitating SelectHealth' s credential verification program and practitioner database. At the facility level, this position will serve as the primary credentialing coordinator. At the Corporate level the position will provide centralized support to liaison for hospitals, practitioners, and/or insurance providers regarding credentialing services.



This position also facilitates the development and execution of contracts under the supervision of the credentialing/contracting supervisor. These responsibilities include the drafting, implementation, tracking, and updating of participating provider contracts for SelectHealth and maintaining appropriate records of these activities. This position contributes to the oversight and management of provider contracts for SelectHealth and serves as a liaison between SelectHealth and affiliated providers



**Monday - Friday Flexible schedule with 8 hours daily work any hours you want!**



**Remote/Hybrid or in office available**



**Job Essentials Credentialing**



1. Facilitates all aspects of credential verification program with accuracy and attention to detail including CAQH.



2. Creates and maintains practitioner files. Receives initial appointment applications, assures completeness and verifies credentials as outlined on the application to include: Education and training, Peer references, Hospital affiliations, State licensures (including controlled substance licenses) and DEA. Queries the National Practitioner Data Bank. Also collects other pertinent information requested for Intermountain Healthcare.



3. Coordinates reappointment dates for all practitioners participating in the credential verification program. Assures completeness and verifies reappointment credentials, query hospital affiliations to verify continued competence, current state licensure (including controlled substance DEA certification), current malpractice coverage and claims history. Queries the National Practitioner Database.



4. Prepares credentials summary and assembles reappointment packets for each facility to which the practitioner is applying or reapplying including SelectHealth for review and approval by the Director of Medical Staff Services.



5. Gains and maintains a working knowledge of current CMS/NCQA standards as well as state and federal guidelines and requirements.



6. Serves as the primary liaison between practitioners, dealing with issues, questions, assessing needs and meeting expectations. Makes sure facilities and/or Insurance Providers follow through on initial appointments and reappointments in a timely manner. Has frequent contact with system wide medical staff services professionals, administrators and/or medical directors, and practitioners.



7. Keeps the Credentialing/Contracting Managers apprised of problems or concerns and assists in the preparation of reports, handle correspondence, arrange meetings, etc.



**Job Essentials Contracting:**



1. Serves as primary contact and resource to provider offices for all participating provider service agreement contracts. Coordinates and manages the contracting process for all participating providers including the development, amendment, and termination of contracts. Assists providers in resolving contract-related issues. Advises provider offices and other SelectHealth colleagues of regulatory and policy requirements related to contracting and the contracting process.



2. Develops contracts, amendments, and extensions using approved templates. Drafts language to address unique situations/concerns for review by Manager or Director. Assures proposed contract changes are appropriately reviewed and approved.



3. Coordinates across SelectHealth and Intermountain teams when a contract involves multiple organizational units while maintaining respect for confidential information including recruitment and credentialing information.



4. Maintains awareness of the legal and operational ramifications that changes to contract language may have to the contract, other provisions in the specific contract or in the implementation of the contract to assure changes do not negatively impact other aspects of the contract. Maintains a broad understanding of provider contract agreements.



**Minimum Qualifications**



Associate degree. Education must be obtained through an accredited institution. Degree will be verified.



- or -



Four years of contracting experience with Intermountain Healthcare or SelectHealth.



- and -



One year of professional work experience in the areas of contract development, contract management, or healthcare operations support.



- and -



Demonstrated ability to establish and maintain effective working relationships with colleagues, administrators, Medical Staff personnel, corporate personnel, and physicians.



- and -



Experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications.



- and -



Experience in a role requiring effective verbal, written, and interpersonal communication skills.



- and -



Experience in a role requiring the ability to organize and prioritize multiple projects and to meet deadlines.



- and -



Experience in a role requiring the demonstration of attention to detail, specifically as it relates to written communication in the areas of grammar, spelling, proof reading, and punctuation.



**Preferred Qualifications**



Associate degree that includes coursework in the areas of accounting, finance, business law, and contract development.



Knowledge of Salesforce



Paralegal training or experience.



**Physical Requirements:**



Interact with others requiring the employee to communicate information.



- and -



Operate computers and other office equipment requiring the ability to move fingers and hands.



- and -



See and read computer monitors and documents.



- and -



Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.



**Location:**



SelectHealth - Murray



**Work City:**



Murray



**Work State:**



Utah



**Scheduled Weekly Hours:**



40



The hourly range for this position is listed below. Actual hourly rate dependent upon experience.



$22.84 - $34.78



We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .



Intermountain Healthcare is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.



Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.



To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm\_source=Workday&utm\_medium=Redirect&utm\_campaign=CareerHome\_workday) .



Intermountain Healthcare strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.



Intermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.



We intentionally work toward an Intermountain Healthcare that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.



Learn more about diversity at Intermountain, here. (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/)



Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.



Intermountain Healthcare's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)



The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.



All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply.



Thanks for your interest in continuing your career with our team!

Keywords: Intermountain Healthcare, Little Rock , SelectHealth Provider Credentialing Contract Specialist- Remote (Open), Other , Little Rock, Arkansas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest Arkansas jobs by following @recnetAR on Twitter!

Little Rock RSS job feeds