REMOTE Contract and Credentialing Specialist - Insight Global : Job Details

Job Description

The Contract Administrator and Credentialing Specialist Infusion is a dual-role position ensures that all pharmacy and provider contracts, payor agreements, and credentialing files are accurate, up to date, and in compliance with regulatory and organizational standards. The ideal candidate will have a strong background in healthcare administration, credentialing, and contract management, with the ability to work independently and collaboratively across departments.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

Associates Degree

2-3 years of exp in credentialing and payor contracting within a healthcare setting

Strong knowledge of provider enrollment, credentialing standards, and healthcare regulations

Proficiency with CAQH, PECOS, NPPES, and payor portals. Bachelors Degree

Experience in home infusion, specialty pharmacy, or physician group practice credentialing/contracting.

Familiarity with managed care payor agreements, contract language review, and negotiation support.

Experience with database management systems or credentialing software solutions.

Knowledge of billing, reimbursement models, and payer/provider network management.