Option Care Home Health LLC
Supervisor, AIC and Practitioner Credentialing
Option Care Home Health LLC, Chicago, Illinois, United States, 60290
Supervisor, AIC and Practitioner Credentialing
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Job Description Summary: Responsible for serving as a Team Lead and key contributor to the continued acceleration of Option Care’s sales and contract performance, focused on Ambulatory Infusion Centers (AIC). Populates and maintains Option Care Contract Management System and will be a key role in deployment for the department. Completing complex credentialing requests, documents, and packets, maintaining fee schedule proposals, and coordinating all administrative tasks and assignments related to the AIC sales and contracting processes.
Responsibilities
Responsible for the completion and management of credentialing and attestation documents required by AIC Payers for execution of contracts and continued services by Option Care Co. Creates and maintains information in databases ensuring all deadlines are met and content is accurate and complete to maintain good standing with third‑party contract partners.
Mentors and coaches other Specialist team members, teaching OCH systems, credentialing process, best practices, etc.
Collaborate with Facilities, Directors of Operations, Legal, Compliance, and Provider Enrollment legal team, corporate clinical team, Quality and Accreditation Manager, and other internal departments to ensure accurate documentation and details of completion of credentialing and attestations are in compliance with licensure, policies, and procedures.
Tracks and monitors AIC contracts throughout their lifecycle from inception to execution and post‑implementation; maintains knowledge of status and information within contracts; facilitates routing, approval, and execution of third‑party Payor contracts and compiles all executive summary documents to present for review, including contract and credentialing documents, financial models, Legal and Operational review comments, issue memos, etc.
Participates in the development and maintenance of AIC contract tracking and routing processes to ensure timely follow‑up with various departments regarding contract status, with the end result being the deployment of an electronic Contract Management System; monitors contracts throughout their lifecycle and communicates status to various Option Care Co. departments and executives as appropriate.
Assists in managing department inbox to appropriately triage communications from internal and external customers.
Provides necessary support and communication to all internal Option Care Co. personnel regarding day‑to‑day AIC sales, service, operations, and contracting functions, as well as support ad‑hoc AIC projects, requests, and initiatives.
Collects and tracks contract management performance, as well as maintains demographic information for all contracted Option Care pharmacies.
Maintains pipeline list of Contract Director/Manager activity and new business wins for the department; analyzes reports and prepares presentation of results for management.
Coordinates with Sales, Contracting, Legal, and other internal departments to ensure consistent communication of AIC issues related to each client/Payor contract and reports specific details as requested or necessary to monitor contract performance.
Coordinates efforts of the VP and Contract Directors/Managers for business within the sales territory.
Coordinates sales meetings as directed by management.
Supervisory Responsibilities
Yes
Basic Education and/or Experience Requirements
Bachelor’s Degree and at least 3 years experience working with or for third‑party payors in the healthcare industry in the areas of credentialing or contract administration, OR High school diploma/GED and at least five (5) years’ experience working with medical providers or payors in the healthcare industry in the areas of credentialing or contract administration.
Basic Qualifications
Experience with Provider credentialing application completion or Request for Proposal work in the medical field.
Experience using time‑management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Experience building and maintaining excellent internal and external working relationships.
Experience generating, analyzing, and presenting sales opportunity and activity reports for management.
Intermediate level skill in Microsoft Word (e.g., creating and modifying text styles, numbering and sorting lists, working with sections and columns, formatting tables, and using templates).
Intermediate level skill in Microsoft Excel (e.g., formatting text and borders of cells, working with workbooks and worksheets, using range names, referencing cells, sorting, and auto‑filtering).
Intermediate level skill in Microsoft PowerPoint (e.g., applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and formatting font).
Preferred Qualifications & Interests (PQIs)
Bachelor’s Degree and at least four (4) years Home Infusion, Respiratory Services, and/or Specialty Pharmacy contract coordination and administration experience.
At least (1) year of supervisory experience.
At least three (3) years payor and facility credentialing experience.
At least three (3) years experience performing healthcare contract coordination or administration or paralegal experience.
Salary Range Pay Range is $62,386.44 – $103,999.91.
Benefits
Medical, Dental & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
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Job Description Summary: Responsible for serving as a Team Lead and key contributor to the continued acceleration of Option Care’s sales and contract performance, focused on Ambulatory Infusion Centers (AIC). Populates and maintains Option Care Contract Management System and will be a key role in deployment for the department. Completing complex credentialing requests, documents, and packets, maintaining fee schedule proposals, and coordinating all administrative tasks and assignments related to the AIC sales and contracting processes.
Responsibilities
Responsible for the completion and management of credentialing and attestation documents required by AIC Payers for execution of contracts and continued services by Option Care Co. Creates and maintains information in databases ensuring all deadlines are met and content is accurate and complete to maintain good standing with third‑party contract partners.
Mentors and coaches other Specialist team members, teaching OCH systems, credentialing process, best practices, etc.
Collaborate with Facilities, Directors of Operations, Legal, Compliance, and Provider Enrollment legal team, corporate clinical team, Quality and Accreditation Manager, and other internal departments to ensure accurate documentation and details of completion of credentialing and attestations are in compliance with licensure, policies, and procedures.
Tracks and monitors AIC contracts throughout their lifecycle from inception to execution and post‑implementation; maintains knowledge of status and information within contracts; facilitates routing, approval, and execution of third‑party Payor contracts and compiles all executive summary documents to present for review, including contract and credentialing documents, financial models, Legal and Operational review comments, issue memos, etc.
Participates in the development and maintenance of AIC contract tracking and routing processes to ensure timely follow‑up with various departments regarding contract status, with the end result being the deployment of an electronic Contract Management System; monitors contracts throughout their lifecycle and communicates status to various Option Care Co. departments and executives as appropriate.
Assists in managing department inbox to appropriately triage communications from internal and external customers.
Provides necessary support and communication to all internal Option Care Co. personnel regarding day‑to‑day AIC sales, service, operations, and contracting functions, as well as support ad‑hoc AIC projects, requests, and initiatives.
Collects and tracks contract management performance, as well as maintains demographic information for all contracted Option Care pharmacies.
Maintains pipeline list of Contract Director/Manager activity and new business wins for the department; analyzes reports and prepares presentation of results for management.
Coordinates with Sales, Contracting, Legal, and other internal departments to ensure consistent communication of AIC issues related to each client/Payor contract and reports specific details as requested or necessary to monitor contract performance.
Coordinates efforts of the VP and Contract Directors/Managers for business within the sales territory.
Coordinates sales meetings as directed by management.
Supervisory Responsibilities
Yes
Basic Education and/or Experience Requirements
Bachelor’s Degree and at least 3 years experience working with or for third‑party payors in the healthcare industry in the areas of credentialing or contract administration, OR High school diploma/GED and at least five (5) years’ experience working with medical providers or payors in the healthcare industry in the areas of credentialing or contract administration.
Basic Qualifications
Experience with Provider credentialing application completion or Request for Proposal work in the medical field.
Experience using time‑management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Experience building and maintaining excellent internal and external working relationships.
Experience generating, analyzing, and presenting sales opportunity and activity reports for management.
Intermediate level skill in Microsoft Word (e.g., creating and modifying text styles, numbering and sorting lists, working with sections and columns, formatting tables, and using templates).
Intermediate level skill in Microsoft Excel (e.g., formatting text and borders of cells, working with workbooks and worksheets, using range names, referencing cells, sorting, and auto‑filtering).
Intermediate level skill in Microsoft PowerPoint (e.g., applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and formatting font).
Preferred Qualifications & Interests (PQIs)
Bachelor’s Degree and at least four (4) years Home Infusion, Respiratory Services, and/or Specialty Pharmacy contract coordination and administration experience.
At least (1) year of supervisory experience.
At least three (3) years payor and facility credentialing experience.
At least three (3) years experience performing healthcare contract coordination or administration or paralegal experience.
Salary Range Pay Range is $62,386.44 – $103,999.91.
Benefits
Medical, Dental & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
#J-18808-Ljbffr