Job Description

Overview

The Credentialing & Contract Specialist plays a vital role in supporting provider credentialing, payer enrollment, and contract management across the organization. This position ensures providers and entities remain compliant with payer and regulatory requirements while supporting contract accuracy, renewals, and market growth. The Specialist also serves as a key owner and subject-matter expert for the organization's Contract Lifecycle Management (CLM) system, partnering cross-functionally to drive efficiency and compliance.

Responsibilities

What You'll Do

• Manage provider credentialing and recredentialing, including payer enrollments, updates, and renewals

• Maintain accurate provider credentials, licenses, and certifications in compliance with payer and regulatory standards

• Own and maintain the Contract Lifecycle Management (CLM) system (Agiloft), ensuring data integrity and timely updates

• Serve as the internal SME for contract and credentialing workflows, supporting system optimization and troubleshooting

• Coordinate contract submissions, renewals, addendums, and credentialing deliverables

• Track expiration dates for contracts, licenses, and credentials to ensure ongoing compliance

• Partner with internal stakeholders to collect documentation and support audits and payer requests

• Support new market expansions and acquisitions through credentialing and payer enrollment activities

• Provide reporting and insights to leadership on credentialing and contracting status

Qualifications

What We're Looking For

• Bachelor's degree preferred (Health Administration, Business, or related field) or equivalent experience

• 3+ years of experience in provider credentialing, payer enrollment, or contract management

• Experience in healthcare, home care, or social services environments preferred

• Experience with Agiloft or other CLM systems strongly preferred

• Strong attention to detail with excellent organizational and analytical skills

• Ability to manage multiple priorities and meet deadlines

• Strong written and verbal communication skills

• Proficiency in Microsoft Office (Excel and/or Smartsheet preferred)

• Ability to work independently and collaboratively across teams

Job Profile Summary

Why Join Help at Home

• Make a meaningful impact supporting healthcare and home care services

• Collaborate with experienced leaders and cross-functional teams

• Opportunity to grow within a mission-driven organization

• Remote work environment with minimal travel

Help at Home is an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees.

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