Credentialing & Contracting Specialist
BrightSpan HealthKearny, New Jersey, United States, 07032job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionPrepare and manage payer contracts for provider entities across multiple states. Collaborate with payers to facilitate implementations, press for resolution of issues when outside of credentialing timelines and improve credentialing / contracting processes Manage credentialing and re-credentialing processes for all providers. Submit applications to payors within a timely manner and ensure processing with the payors. Obtain information regarding changes with the payor networks that affect any credentialing or contracting. Set up and maintain accurate CAQH profiles and ensure timely submission of required documentation. Track credentialing statuses and ensure no lapses in network participation. Coordinate provider enrollment with multiple state Medicaid programs. Ensure all documents meet state-specific requirements and submit within required timelines. Maintain expert knowledge of credentialing regulations and compliance requirements across various states. Uphold BrightSpan's commitment to excellence with a zero-defect approach to documentation. Minimum of 3 years' experience in credentialing and contracting in a behavioral health or ABA setting (4–5 years preferred). Exceptional attention to detail and a strong commitment to accuracy and quality standards . Excellent time management skills with a demonstrated ability to meet tight deadlines and handle competing priorities efficiently. Strong interpersonal and written communication skills with the ability to work collaboratively across teams Proficiency in credentialing databases (e.g., CAQH), payer portals, and Microsoft Office Suite. Competitive compensation among our industry competitors; Medical, dental and vision insurance; Paid time off and holidays; Discounts & perks; HSA & FSA; Opportunities for professional and career development in a growing organization;
Why BrightSpan?
- At BrightSpan Health, our mission is to bridge the gap between clinical care and operational clarityempowering providers through expert revenue cycle solutions that ease administrative burdens, restore peace of mind, and make room for what matters most : their clients. We're not just managing claimswe're shaping futures for providers, their patients and the communities they serve.
- We envision a healthcare system where providers are free to lead with compassion, where financial clarity supports clinical excellence, and where every provider organization has the tools to thrivebehind the scenes and beyond. BrightSpan exists to illuminate the path forward, one bridge at a time .
BrightSpan Health is seeking a highly organized and driven Credentialing & Contracting Specialist with a strong background in behavioral health operations. This role requires a professional who excels in credentialing, payer contracting, and compliance across multiple states, with a strong focus on accuracy , quality control , and time-sensitive execution .
What you'll do
Contracting
Credentialing
Compliance & Quality Control
What you'll need
Why BrightSpan?
The pay range for this role is :
52,000 - 55,000 USD per year(Remote (United States))
52,000 - 55,000 USD per year(Kearny Office - Hybrid)
52,000 - 55,000 USD per year(Lakewood Address)
PI648a1156534f-30511-38690279
serp_jobs.job_alerts.create_a_job
Credentialing Specialist • Kearny, New Jersey, United States, 07032
Job_description.internal_linking.related_jobs
At Prudential, we believe talent is key to achieving our vision.When you join Prudential, you'll unlock a motivating and impactful career all while growing your skills and advancing your professio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
In order to be considered for the position candidates must be a current City Employee and be serving permanently in the title of Administrative Procurement Analyst or have taken the most recent Adm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 ONLY CANDIDATES WHO ARE PERMANENT CONTRACT SPECIALIST OR WHO ARE ELIGIBLE FOR APPOINTMENT FROM THE OPEN COMPETITIVE CONTRACT SPECIALIST LIST WILL BE CONSIDERED FOR THIS POSITION.The New York City D...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Applicants must be permanent in the Associate Staff Analyst Civil Service Title or be permanent in a comparable title eligible for 6.
Title Change or be immediately reachable on the Open Competitive...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Control Risks’ Embedded Consulting team is looking for a Business Continuity Analyst to help support a Fortune 100 client's corporate business continuity program focused on the Americas region.The ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The New York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty and to provide opportun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Armand Corporation, an award-winning M / WBE Construction Management firm celebrating over 34 years in the industry, is seeking a full-time Contract Specialist - Office Engineer & Administration&...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days The New York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty and to provide opportun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
We are seeking a talented individual to join our US Surety team at Marsh.This role can be based in any US office.This is a hybrid role that has a requirement of working at least three days a week i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Under the direction of the Assistant Deputy Agency Chief Contracting Officer (ADACCO), the Department of Youth and Community Development (DYCD) is seeking to hire an Associate Contract Specialist w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 The Office of Technology and Innovation (OTI) leverages technology to drive opportunity, improve public safety, and help government run better across New York City.
From delivering affordable broadb...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 The New York City Department of Youth and Community Development (DYCD) invests in a network of community-based organizations and programs to alleviate the effects of poverty and to provide opportun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Luxaviation Group delivers excellence in a comprehensive range of business aviation services tailored to our clients and partners.
We are committed to the highest safety standards and strive to crea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 DCAS's mission is to make city government work for all New Yorkers.From managing New York City's most iconic courthouses and municipal buildings, to purchasing over $1 billion annually in goods and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
The Contracting Manager is responsible for sourcing and management for contracts within the purchased services service line, which will include multiple contracts or relationships.Specifically, Con...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day Contract Specialist, Bureau of Tuberculosis Control.The New York City (NYC) Bureau of Tuberculosis Control (BTBC) is committed to preventing the spread of tuberculosis (TB) and eliminating it as a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
W2 Remote - Can be located anywhere in the US.Preferred EST time zones, but can work in any.Duties : Lead the re-contracting process for existing Frame.
Develop and implement strategies to streamline...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Acura Business Development Center Position.The Rallye Motor Company, Long Island's premier luxury automotive group, has an immediate career opportunity in our Acura Business Development Center (BDC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Load all Professional, Facility, and Ancillary contracts across all EmblemHealth lines of business in a timely and accurate manner.
Provide subject matter expertise in all areas of contract configur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Contract Specialist is responsible for negotiating and administering contracts related to the resale of software, hardware, cloud solutions, and IT services while ensuring adherence to SHI stan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Investor Relations Specialist (Hybrid)
Prudential FinancialNewark, NJ, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Analyst
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Specialist
City of New YorkNew York, NY, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
CONTRACT MANAGER
City of New YorkBrooklyn, NY, USserp_jobs.job_card.permanent
Business Continuity Specialist
Control RisksNew York, NY, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Contracting Analyst
NYC JobsNew York, NY, USserp_jobs.job_card.full_time
Contract Specialist - Construction
Armand CorporationElizabeth, NJ, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
ASSOCIATE CONTRACT SPECIALIST
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
US Contract Surety Leader
Marsh McLennanNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Associate Contract Specialist
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Contract Specialist
City of New YorkBrooklyn, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contracting Analyst
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Charter Broker - USA
LuxaviationNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Transaction Specialist
City of New YorkNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contracting Manager
Premier, Inc.New York, NY, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contract Specialist, Bureau of Tuberculosis Control
City of New YorkLong Island City, NY, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
Contracts and Renewal Specialist
VariteNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Client Relations Specialist - Business Development Center
Rallye Motor CompanyRoslyn, NY, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Contract Specialist
Emblem HealthNew York, NY, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Contracts Specialist
SHISomerset, NJ, USserp_jobs.job_card.full_time