Overview
The Credentialing & Contract Specialist plays a vital role in supporting provider credentialing, payer enrollment, and contract management across the organization. This position ensures providers and entities remain compliant with payer and regulatory requirements while supporting contract accuracy, renewals, and market growth. The Specialist also serves as a key owner and subject-matter expert for the organization's Contract Lifecycle Management (CLM) system, partnering cross-functionally to drive efficiency and compliance.
Responsibilities
What You'll Do
Manage provider credentialing and recredentialing, including payer enrollments, updates, and renewals
Maintain accurate provider credentials, licenses, and certifications in compliance with payer and regulatory standards
Own and maintain the Contract Lifecycle Management (CLM) system (Agiloft), ensuring data integrity and timely updates
Serve as the internal SME for contract and credentialing workflows, supporting system optimization and troubleshooting
Coordinate contract submissions, renewals, addendums, and credentialing deliverables
Track expiration dates for contracts, licenses, and credentials to ensure ongoing compliance
Partner with internal stakeholders to collect documentation and support audits and payer requests
Support new market expansions and acquisitions through credentialing and payer enrollment activities
Provide reporting and insights to leadership on credentialing and contracting status
Qualifications
What We're Looking For
Bachelor's degree preferred (Health Administration, Business, or related field) or equivalent experience
3+ years of experience in provider credentialing, payer enrollment, or contract management
Experience in healthcare, home care, or social services environments preferred
Experience with Agiloft or other CLM systems strongly preferred
Strong attention to detail with excellent organizational and analytical skills
Ability to manage multiple priorities and meet deadlines
Strong written and verbal communication skills
Proficiency in Microsoft Office (Excel and/or Smartsheet preferred)
Ability to work independently and collaboratively across teams
Job Profile Summary
Why Join Help at Home
Make a meaningful impact supporting healthcare and home care services
Collaborate with experienced leaders and cross-functional teams
Opportunity to grow within a mission-driven organization
Remote work environment with minimal travel
Help at Home is an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees.
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