Contract & Credentialing Manager
BrightSpring Health Services
Our Company
BrightSpring Health Services
Overview
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!
Responsibilities
+ 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
Qualifications
+ Bachelor’s Degree in Business, Healthcare Administration or a related field is required
+ Two to four years' experience in management
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information, please visitwww.brightspringhealth.com. Follow us onFacebook (https://www.facebook.com/brightspringHS) ,LinkedIn (https://www.linkedin.com/company/brightspringhealth) , andX (https://x.com/BrightSpringHS) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-KY-LOUISVILLE
ID 2026-182673
Line of Business BrightSpring Health Services
Position Type Full-Time
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