Full-Time

Provider Credentialing Contract Specialist

Posted on 2/18/2025

Intermountain Healthcare

Intermountain Healthcare

10,001+ employees

Intermountain Healthcare is a nonprofit health system.

Healthcare

Compensation Overview

$23.30 - $35.48Hourly

Junior, Mid

No H1B Sponsorship

Murray, UT, USA

Category
Risk & Compliance
Contract Management
Legal & Compliance
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets

You match the following Intermountain Healthcare's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Associate degree. Education must be obtained through an accredited institution. Degree will be verified.
  • Three years of experience in a healthcare-related industry.
  • Experience working in the medical field in an administrative or support role.
  • Demonstrated ability to establish and maintain effective working relationships with office administrators, corporate personnel, and providers.
  • Effective verbal and written communication skills and the ability to work well with a team.
  • Knowledge of computer technology is needed to perform job functions.
  • Intermediate level experience with Word, Excel, Adobe, and OneNote.
  • Must be comfortable learning a sophisticated database program.
  • Demonstrated workload management/prioritization skills.
  • Demonstrated ability to work through frequent interruptions, solve problems, make decisions, and possess excellent organization skills.
  • The incumbent must be able to work with a variety of healthcare professionals, function with minimal supervision, be self-motivated, and maintain confidentiality.
Responsibilities
  • Processing initial credentialing and re-credentialing applications.
  • Capturing primary source documentation in computer databases.
  • Preparing records and applications to be reviewed by the Select Health Credentialing Committee.
  • Maintaining reports of credentialing activities such as accreditation, membership, or facility privileges.
  • Ensuring applications comply with applicable laws, regulations, procedures and policies.
  • Monitoring credentialing data between credentialing and re-credentialing cycles.
  • Remaining informed of any changes to credentialing guidelines.
  • Creating and sending contracts and amendments using legal-approved templates.
  • Coordinating the execution of contracts with the respective Select Health leadership and providers.
  • Collaborating with internal Select Health departments to ensure accurate and current information regarding provider contract status is updated appropriately in all internal systems.
  • Preparing notices to terminate and rescind contracts.
  • Assisting providers and internal Select Health departments in resolving contract-related inquiries.
  • Drafting language to address changes and unique situations for review by Select Health leadership.
  • Supporting the maintenance of accurate records for all contracts and associated documentation, ensuring data integrity and accessibility.
  • Communicating information regarding contract changes to the appropriate departments.
  • Maintaining a broad understanding of provider contract agreements.
Desired Qualifications
  • Knowledge of Salesforce.
  • Knowledge of CAQH.
  • Knowledge of PeopleSoft.
  • Knowledge of Adobe Sign and/or DocuSign.
  • Bachelor’s degree. Education must be obtained through an accredited institution. Degree will be verified.
  • Certified Provider Credentialing Specialist (CPCS) by NAMSS.
  • Certified Professional Medical Services Management (CPMSM) by NAMSS.
  • Paralegal training or experience.
Intermountain Healthcare

Intermountain Healthcare

View

Company Size

10,001+

Company Stage

Grant

Total Funding

$1.8M

Headquarters

Salt Lake City, Utah

Founded

1975

Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth expansion improves access to healthcare for remote patients.
  • AI integration enhances diagnostic accuracy and operational efficiency at Intermountain Health.
  • Intermountain's new hospital in Billings, MT, will expand healthcare access in the region.

What critics are saying

  • NeuroFlow's acquisition of Intermountain's analytics model may raise data privacy concerns.
  • Urgent care expansion in Utah schools could strain Intermountain's resources.
  • The $1B hospital investment in Billings, MT, poses financial risks if projections aren't met.

What makes Intermountain Healthcare unique

  • Intermountain Health is recognized as the top healthcare employer in Nevada.
  • The company is expanding its mental health services to meet growing demand.
  • Intermountain Health is a leader in value-based care models, focusing on patient outcomes.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Vacation

401(k) Company Match

Professional Development Budget

Wellness Program

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