Contract and Compliance Manager
4 days ago
Anew Behavioral Health is seeking a highly skilled Contract and Compliance Specialist to join our team. In this role, you will play a crucial part in contract and compliance operations, including working with state agencies, local authorities, and leadership.
Key Responsibilities:- Establish and maintain contracts with Medicaid programs, ensuring compliance with state requirements that meet legal and regulatory standards per each state.
- Coordinate with state Medicaid programs to ensure state-based credentialing and enrollment is completed and remains active.
- Research and create state-specific charge lists for behavioral health services, aligning them with Medicaid reimbursement rates and commercial insurance contracts.
- Support leadership in strategic planning for multi-state operations, ensuring smooth expansion into new markets.
- Collaborate with our leadership team to ensure compliance with state regulations and healthcare landscape.
- 2+ years of experience in healthcare administration, with specific experience in Medicaid contracting and credentialing.
- Strong knowledge of state-specific regulations for behavioral health agencies, healthcare billing, and charge master creation.
- Excellent interpersonal skills (verbal and written), organizational skills, proficiency in MS Office, contract software, and ability to utilize online EHR platforms.
- Medical Benefits
- Dental Benefits
- Paid Time Off
- Paid Holidays
This position is eligible for hybrid work arrangements, with periodic meetings to meet with supervisor in-person. Anew Behavioral Health is an equal opportunity employer and welcomes applications from diverse candidates.
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