Provider Credentialing & Contracting Supervisor
Full-Time | On-Site
Location: Boca Raton, FL
Company: NRG Management
About Us
NRG Management is a growing healthcare organization supporting substance abuse and mental health treatment centers across multiple states. We are seeking a detail-oriented professional to manage provider credentialing and payer contracting processes while supporting organizational growth.
Position Overview
The Provider Credentialing & Contracting Specialist will be responsible for overseeing the full credentialing lifecycle, maintaining provider compliance, and managing payer relationships and contracts. This role plays a key part in ensuring providers are properly credentialed, enrolled, and aligned with all payer requirements.
Key Responsibilities
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Manage all aspects of credentialing, re-credentialing, and privileging for medical staff
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Maintain provider profiles within CAQH, PECOS, and NPI registries
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Ensure all provider documentation is current, including state licenses, DEA/CSR certificates, malpractice insurance, and related credentials
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Track and manage license and certification expirations to ensure timely renewals
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Partner with Billing to ensure providers are correctly linked to payer contracts
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Maintain accurate provider demographic information with all payers
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Audit health plan directories to ensure accurate provider listings
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Support the development, negotiation, and implementation of payer contracts
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Participate in new business initiatives, acquisitions, and facility expansions
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Assist in contract strategy and negotiations, including rates and contract terms
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Build and maintain strong relationships with third-party payers
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Coordinate internal implementation of executed contracts and communicate updates
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Review RFPs, bids, and contract modifications; prepare responses as needed
Qualifications
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2+ years of experience in healthcare credentialing, provider enrollment, or payer contracting
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Strong knowledge of CAQH, PECOS, and NPI processes
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Experience working with insurance payers and provider contracts
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Excellent organizational skills and attention to detail
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Ability to manage multiple priorities in a fast-paced environment
Benefits
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Competitive salary based on experience
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Health, dental, and vision insurance
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401(k) with company contribution
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Paid time off (PTO) and company holidays
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Opportunities for growth within a rapidly expanding organization
- Degree in Healthcare Administration or equivalent experience preferred
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3 years of job-related work experience may be accepted in lieu of degree
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Four years of experience with healthcare provider enrollment and/or credentialing
