Springfield, IL, 62762, USA
23 hours ago
Supervisor, AIC and Practitioner Credentialing
**Extraordinary Careers. Endless Possibilities.** **With the nation’s largest home infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees. As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a **thriving workforce that is as unique as the patients and communities we serve.** Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. **Job Description Summary:** Responsible for serving as a Team Lead and key contributor to the continued acceleration of Option Care’s sales and contract performance, focused on Ambulatory Infusion Centers (AIC). Populates and maintains Option Care Contract Management System and will be a key role in deployment for the department. Completing complex credentialing requests, documents, and packets, maintaining fee schedule proposals, and coordinating all administrative tasks and assignments related to the AIC sales and contracting processes. **Job Description:** ​ Job Responsibilities (listed in order of importance and/or time spent) + Responsible for the completion and management of credentialing and attestation documents required by AIC Payers for execution of contracts and continued services by Option Care Co. Creates and maintains information in databases ensuring all deadlines are met and content is accurate and complete as required to maintain good standing with third party contract partners. + Mentors and coaches other Specialist team members, teaching OCH systems, credentialing process, best practices, etc. + Collaborate with Facilities, Directors of Operations, Legal, Compliance, and Provider Enrollment legal team, corporate clinical team, Quality and Accreditation Manager, and other internal departments to ensure accurate documentation and details of completion of credentialing and attestations are in compliance with our licensure, policies, and procedures + Tracks and monitors AIC contracts throughout their lifecycle from inception to execution and post-implementation; maintains knowledge of status and information within contracts; facilitates the routing, approval, and execution of third party Payor contracts, and compiles all executive summary documents to present for review including contract and credentialing documents, financial models, Legal and Operational review comments, issue memos, etc. + Participates in the development and maintenance of AIC contract tracking and routing processes to ensure timely follow up with various departments regarding contract status with the end result being the deployment of an electronic Contract Management System; Monitors contracts throughout their lifecycle from inception to execution and post-implementation, and maintains knowledge of status and information within contracts; Communicates status of contracts to various Option Care Co. departments and executives as appropriate. + Assists in managing department inbox to appropriately triage communications from internal and external customers. + Provides necessary support and communication to all internal Option Care Co. personnel regarding day to day AIC sales, service, operations, and contracting functions, as well as support ad-hoc AIC projects, requests, and initiatives. + Collects and tracks contract management performance, as well as maintains demographic information for all contracted Option Care pharmacies. + Maintains pipeline list of Contract Director/Manager activity and new business wins for department.Analyzes reports and prepares presentation of results for management + Coordinates with Sales, Contracting, Legal, and other internal departments to ensure consistent communication of AIC issues related to each client/Payor contract and reports specific details as requested or necessary to monitor contract performance. + Coordinates efforts of the VP and Contract Directors/Managers for business within the sales territory. + Coordinates sales meetings as directed by management **Supervisory Responsibilities** Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) + Yes **Basic Education and/or Experience Requirements** + Bachelors’ Degree and at least 3 years experience working with or for third party payors in the healthcare industry in the areas of credentialing or contract administration, OR High school diploma/GED and at least five (5) years’ experience working with medical providers or payors in the healthcare industry in the areas of credentialing or contract administration. **Basic Qualifications** + Experience with Provider credentialing application completion or Request for Proposal work in the medical field. + Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates. + Experience building and maintaining excellent internal and external working relationships. + Experience generating, analyzing, and presenting sales opportunity and activity reports for management. + Intermediate level skill in Microsoft Word (for example: creating and modifying text styles, numbering and sorting lists, working with sections and columns, formatting tables, and using templates and using diagrams and drawing tools) + Intermediate level skill in Microsoft Excel (for example: formatting text and borders of cells, working with workbooks and worksheets, using range names, referencing cells, sorting, and auto filtering). + Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font). **Preferred Qualifications & Interests (PQIs)** Bachelor’s Degree and at least four (4) years Home Infusion, Respiratory Services, and/or Specialty Pharmacy contract coordination and administration experience. At least (1) year of supervisory experience. At least three (3) years payor and facility credentialing experience At least three (3) years experience performing healthcare contract coordination or administration or paralegal experience. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $62,386.44-$103,999.91 **Benefits:** -401k -Dental Insurance -Disability Insurance -Health Insurance -Life Insurance -Paid Time off -Vision Insurance _Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._ ​ For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.
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