Contract & Credentialing Specialist

Founded as Boulder Hospice in 1976, TRU Community Care is a nonprofit healthcare organization serving Boulder, Denver, and surrounding counties. With a mission to affirm life at every step of the journey with illness and loss, TRU provides a continuum of care through TRU Hospice, TRU PACE (Program of All-Inclusive Care for the Elderly), TRU Palliative Care, TRU Grief Services, and Landmark Memory Care.

Title: PACE Contracts & Credentialing Specialist

Location: Lafayette, CO

Schedule: Monday-Friday, 8am to 5pm

Pay: $29.26 to $36.59 per hour

JOB SUMMARY

Under the direction of the Quality and Compliance Director, the PACE Contract/Credentialing Specialist oversees the contracting, credentialing, and ongoing management of the TRU PACE program provider network. The Contract/Credentialing Specialist also performs administrative support duties as assigned.

EDUCATION AND QUALIFICATIONS

• Associate's degree in business or related field; Bachelor's degree preferred
• A minimum of three years' of experience in a contract management role
• Ability to establish and maintain effective working relationships with outside vendors and coordination of their activities with internal departments
• Ability to coordinate all credentialing activity between contracted vendors and internal and external credentialing review entities as needed
• Exceptional verbal and written communication skills with computer skill sets
• Ability to communicate and present information in a concise and positive manner in order to promote TRU PACE in a positive light

ESSENTIAL DUTIES

• Develops contractual relationships with service providers, such as negotiating rates, drafting contract agreements, and maintaining provider network listings
• Works with TRU PACE Quality and Compliance Director to coordinate quality assessment of providers
• Serves as the credentialing coordinator for contracted providers
• Serves as the liaison between the contracted credentialing verification organization and TRU PACE
• Ensures contract compliance and credentialing compliance with State and Federal regulations
• Tracks and updates contractor files with current medical licenses, facility state licenses, registrations, DEA license and certificates of liability insurance, state surveys
• Provides updated annual training material to contracted providers
• Monitors applicable websites monthly and as needed for disciplinary summaries from the Board of Medical Examiners, as well as excluded providers from Medicare and Medicaid (OIG)

TRU's Benefits (Eligibility Varies by Position/Status):

• Paid Vacation time
• 401(k) with match
• Health, dental, vision & life insurance
• FSA & HSA available
• Paid orientation
• Paid training
• PSLF Eligible Employer
• Referral & signing bonuses (if applicable)

To learn more about TRU Community Care, please visit

TRU Community Care is an Equal Opportunity Employer