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Credentialing and Payor Contracting Specialist (Full-Time)
ChildServe
๐Ÿ“ Johnston, Polk County On-site Payor Contracting Posted 2026-06-07
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Job Description

Description This is a newly created role responsible for overseeing end-to-end provider and entity credentialing, pay o r enrollment, and medical staff privileging to ensure timely and accurate participation with Medicaid, MCOs, and commercial payors. The position also supports pay o r contracting by coordinating contract processes and assisting with financial and reimbursement analysis in partner
A Day in the Life: Payor Contracting
Full Career Guide โ†’
8:00 AM
Review a contract amendment proposal from Cigna. They want to roll back reimbursement rates on 12 procedure codes by 8%. You pullโ€ฆ
9:30 AM
Modeling session. You're building a financial model in Excel showing the impact of three different negotiation scenarios for the uโ€ฆ
11:00 AM
Contract negotiation call with Blue Cross Blue Shield. You've been at the table with them for six weeks. Today's agenda: hospital-โ€ฆ
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