Contracting & Credentialing Specialist

AMERICAN OUTCOMES MANAGEMENT dba AOM INFUSION

9h • Remote

About The Position

AOM Infusion is seeking a Contracting & Credentialing Specialist to support our payor contracting, credentialing, and intake processes. This role will also support contract organization and management in partnership with the General Counsel/Chief Compliance Officer. This position is ideal for someone experienced in healthcare payor credentialing, provider enrollment, and contract administration who can manage recurring tasks with precision.

Requirements

• Prior experience in healthcare credentialing, payor enrollment, or contracting required (infusion, specialty pharmacy, or home health preferred).
• Strong understanding of commercial payors, Medicaid, and provider enrollment workflows.
• Comfort navigating CAQH, Availity, state Medicaid portals, and payor enrollment portals.
• Familiarity with contract management systems.
• Strong organizational skills and ability to manage recurring deadlines.
• High attention to detail, reliability, and ability to work independently.
• Skilled at managing competing priorities and stakeholder needs (growth vs. operations vs. compliance)

Responsibilities

• Manage recurring credentialing and re‑credentialing for all existing payors across markets.
• Complete and submit payor applications, attestations, demographic updates, and enrollment maintenance tasks (CAQH, Medicaid portals, commercial payor portals).
• Track credentialing and enrollment statuses, expirations, and required follow‑ups.
• Prepare and maintain credentialing files, documentation, and compliance records.
• Organize / mobilize sensitive information from diverse internal/external sources.
• Prepare contracting packets, payor forms, and enrollment‑related documentation required for new contract execution.
• Assist with verifying network status, contract terms, coverage details, and enrollment IDs as needed by Intake/RCM.
• Manage contract storage, tagging, and organization in LinkSquares.
• Support data hygiene working with VP, Payer Relations ensuring metadata, key terms, and renewal dates are clean and searchable.
• Assist in summarizing payor contracts into standardized templates (rates, terms, notice periods, service carve‑outs).
• Support contract lifecycle reminders, renewal tracking, and document routing.
• Assist with document execution workflows in accordance with AOM’s signatory policy.
• Prepare meeting notes, track action items, and organize compliance documentation.
• Support light administrative tasks such as updating templates, maintaining repository folders, and pulling contract extracts.
• Maintain master lists of NPI, NCPDP, taxonomy codes, state Medicaid IDs, and payor‑specific identifiers.
• Identify and resolve discrepancies in payor portals and credentialing applications.
• Assist with maintaining policy acknowledgment logs, required licensure files, and compliance‑related documentation tied to contracts or operations.
• Help track vendor contracts tied to clinical operations (labs, delivery services, specialty drug suppliers) within LinkSquares.

Benefits

• Medical, Dental, Vision, 401(k) with Employer Match up to 10%, Paid Time Off & Paid Holidays, FSA, Life & AD&D Insurance, Disability Coverage, and Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed