Credentialing Services Lead

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for credentialing process to ensure contract fulfillment of insurance requirements and credentialing of sub-contractor vehicles and drivers

You will...

• Oversees the entire credentialing process, ensuring its efficiency, accuracy, and compliance with industry and organization standards/requirements.

• Performs trainings and educates stakeholders and/or interested parties in the credentialing process.

• Reviews and verifies all contracts for completeness.

• Corresponds with outside agencies through various channels, email, phone, etc.

• Analyzes and submits weekly reports for management staff.

• Handles complex issues related to provider credentialing.

• Ensures adherence with applicable federal and/or state laws, regulations, and/or agency rules, contract standards and guidelines, etc.

• Establishes good working relationship with fellow employees, transportation providers, and other stakeholders.

• Ensures accurate and timely data inputs and reviews.

• Proactively partners across all departments to manage the timely satisfaction of Modivcare's obligations under all contract agreements.

• Makes recommendation for process improvements to management / Credentialing Services team.

• Maintains a comprehensive understanding of relevant industry regulations, accreditation standards, and maintains a working knowledge of company operations and procedures.

• Mentors credentialing staff by sharing knowledge and best practices.

• May lead projects and perform other duties as assigned.

We are interested in speaking to individuals with the following…

• High School Diploma required.

• Four (4) plus years of experience in credentialing services or similar role.

• Or equivalent combination of education and/or experience.

• Deep understanding of credentialing processes, industry standards, and regulatory requirements.

• Strong analytical and problem-solving skills with a precise eye for detail.

• Clear and effective verbal and written communication skills.

• Strong organization skills and superior time-management skills.

• Proficiency in Microsoft products (Work, Outlook, Excel).

• Understand the importance to maintain confidentiality and handle sensitive information.

• Experience with specialized software and databases to manage and track credentials is a plus.

Salary: $28.61-38.63/Hourly

Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance

• Employer Paid Basic Life Insurance and AD&D

• Voluntary Life Insurance (Employee/Spouse/Child)

• Health Care and Dependent Care Flexible Spending Accounts

• Pre-Tax and Post --Tax Commuter and Parking Benefits

• 401(k) Retirement Savings Plan with Company Match

• Paid Time Off

• Paid Parental Leave

• Short-Term and Long-Term Disability

• Tuition Reimbursement

• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information

• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com