Associate, Payor Credentialing and Contracting

To continue providing accessible and affordable health care for all, Thirty Madison is growing our network of medical insurance partners alike. As our Associate, Payor Credentialing and Contracting, you will be working within our Revenue Cycle team in coordinating and executing provider enrollment from start to finish. You will be responsible for ensuring our medical providers are appropriately contracted and credentialed with health plans; providing quality control for the end-to-end provider enrollment process; and giving internal feedback on our network adequacy. You will be a subject matter expert in all things health plan contracting and credentialing. This role will be heavily external-facing and you must be comfortable interacting, communicating, and working directly with healthcare professionals and payors. Above all, you embody the Thirty Madison mission of providing access to healthcare for all who suffer from chronic conditions.

Comp | Perks | Benefits 

• The base pay range for this position is $$52,400-$72,050 per year **
• Annual Incentive Plan + Stock Option Package
• Robust and affordable Health, Dental, and Vision plan options 
• 401k with a match, commuter benefits, and FSA
• Annual $750 vacation stipend and $500 happiness stipend
• Flexible time off policy 

**Base pay offered may vary depending on job-related knowledge, skills, and experience. An annual incentive plan and stock options may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.

What you get to do every day

• Submitting, tracking progress, and following up on health plan enrollment applications and credentialing processes for our full healthcare professional roster
• Researching payor reimbursement guidelines to ensure Thirty Madison’s clinical models will be reimbursed
• Maintaining accurate provider profiles on CAQH and internal databases
• Leveraging payer portals, Availity, and other tools to efficiently follow up on providers’ credentialing status and progress
• Providing input on our contracting roadmap based on state-regulated telehealth guidelines and Thirty Madison footprint
• Handling confidential administrative functions like written external correspondence and primary document collection and verification
• Showcasing payor credentialing expertise by giving input on how to improve and scale our credentialing processes
• Other duties as assigned 

What you bring to the role

• 2 or more years of payor credentialing and contracting experience 
• A high level of interpersonal skills to handle sensitive and confidential communications. In this externally-facing role, we require demonstrated poise, tact and professionalism.
• Proficiency in word processing, spreadsheets, database and presentation software (Microsoft Suite/Google Suite, CAQH)
• A general understanding of CMS, health insurance, and provider enrollment
• An inclination towards process-oriented solutions and attention to detail

All Company policies and procedures are subject to change without notice based on business needs. This includes, but is not limited to, the locations where we hire remote, hybrid, or onsite employees.