Credentialing and Contract Specialist

Livingston County Community Mental Health • Howell, MI

21d • $58,283 - $66,700 • Onsite

About The Position

At Livingston County Community Mental Health Authority (LCCMHA), we are committed to delivering high-quality mental health services to our community. To uphold our standards and ensure our providers meet all regulatory and legal requirements, we are seeking a Compliance Analyst to join our team. This role is ideal for someone who thrives on detail, enjoys problem-solving, and is passionate about ensuring compliance in healthcare settings. As a Credentialing and Contract Specialist, you will play a crucial role in credentialing and verifying provider qualifications, ensuring that licenses, certifications, and training records are accurate and up to date. Your work will help guarantee that all contracted providers meet Medicaid standards and other regulatory requirements. You will also oversee the provider enrollment process, guiding applicants through credentialing and re-credentialing, verifying data, and ensuring timely approvals. Managing records within our credentialing system and electronic medical records database will be an essential part of your responsibilities, requiring precision and strong organizational skills. Beyond credentialing, you will conduct on-site reviews of licensed residential facilities to ensure they meet health, safety, and compliance standards. Your ability to assess, identify, and resolve compliance risks will directly contribute to the well-being of individuals receiving care. Collaboration will be key in this role, as you will work closely with our Contract Manager, Finance Department, and providers to maintain compliance, navigate audits, and implement policy updates. Attending industry conferences and internal meetings will help you stay ahead of regulatory changes, ensuring our organization continues to meet the highest standards. If you are detail-oriented, highly organized, and passionate about maintaining integrity in healthcare services, this is an opportunity to make a significant impact. Join us at LCCMHA and help ensure that our providers continue delivering safe, high-quality care to those who need it most. Apply today and be a part of something bigger!

Requirements

• Candidates must be committed to our shared values and commitment to community care, including clinical excellence, community inclusion, community benefit, innovation, integrated care, and improvement.
• Our collaborative approach to treatment requires strong teaming skills.
• On-site, no remote work option available.
• Office hours are 8 am - 5 pm
• Education: Equivalent to possession of a bachelor's degree with major coursework in business or public administration, health administration, or field related to the work.
• Experience: Two (2) years of experience in performing administrative, management, operational, or similar analysis.
• Must be proficient in Microsoft Office and willing/able to learn other software as necessary.
• Strong analytical, organizational, and problem-solving skills
• High level of integrity and ability to maintain confidentiality of information handled.
• Excellent verbal and written communication skills.
• Able to effectively collaborate with team members and other program staff.

Nice To Haves

• Compliance experience with state and federal regulations is preferred.

Responsibilities

• Credentialing and verifying provider qualifications
• Ensuring licenses, certifications, and training records are accurate and up to date
• Overseeing the provider enrollment process
• Guiding applicants through credentialing and re-credentialing
• Verifying data
• Ensuring timely approvals
• Managing records within our credentialing system and electronic medical records database
• Conduct on-site reviews of licensed residential facilities
• Assessing, identifying, and resolving compliance risks
• Collaborating with our Contract Manager, Finance Department, and providers to maintain compliance, navigate audits, and implement policy updates
• Attending industry conferences and internal meetings

Benefits

• Generous benefits package effective on Day 1, including a 5% employer retirement contribution and a voluntary 457(b) salary deferment plan.
• We provide employer-paid 2X salary life insurance, long-term disability, plus generous contributions to BCBS medical and Delta Dental.
• Our comprehensive benefit plan also includes vision coverage, short-term disability, accident coverage, legal and identity theft programs, and voluntary life insurance.
• Take advantage of our Spring Health Mental Health Wellness program offering free counseling, life coaches, and self-care tools.
• Generous paid time off with vacation, sick, personal, 13 holidays (4 floating), and more choices through our Cafeteria Benefit plan.
• Employee Signing Incentive for Regular Full-Time Employees: Livingston County Community Mental Health Authority is excited to offer an Employee Signing Incentive to eligible new hires. Regular full-time employees will receive $2,000, less applicable taxes. More information on terms and conditions will be made available at the time an offer of employment is made.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 51-100 employees