Supervisor, AIC and Practitioner Credentialing (Chicago)

Extraordinary Careers. Endless Possibilities.

With the nations 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 team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and youre empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. 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 Cares 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.)

Basic Education And / or Experience Requirements

Basic Qualifications

Preferred Qualifications & Interests (PQIs)

Bachelors 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

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.