Contract & Credentialing Manager jobs in United States
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BrightSpring Health Services · 7 hours ago

Contract & Credentialing Manager

positionLouisville, KY
timeFull-time, Contract
remoteOnsite
seniorityMid, Senior Level
date2+ years exp

BrightSpring Health Services is focused on developing strategic solutions to align and grow their business. The Contract & Credentialing Manager will be responsible for identifying and solidifying managed care and other commercial product contract opportunities across home care, home health, and hospice business lines, while ensuring compliance with regulatory requirements.

Health CarePersonal HealthPharmaceutical

Responsibilities

Be responsible for identifying and solidifying managed care and other commercial product contract opportunities across the home care, home health and hospice business lines
Work with local Executive Director leadership on rate negotiations specific to each branch
Identify opportunities within payer plans, communicating value proposition of business line within plan product and demographic market both to payers, leadership and operations
Work with leadership to create processes to support contract deliverables
Articulate and work with Information Technology billing support to facilitate necessary report or data to facilitate contract award and compliance
Obtain final approval and sign off through Vice President Contracting and Contract work flow
Research, understand, and articulate regulatory requirements, deliverables as they pertain to Medicare and Medicaid across multi-state operations and execute on requests to drive operation growth
Work with HomeCare, Home Health, and Hospice leadership to stay on top of and drive the changing payer landscape
Complete and verify credentialing requirements for each plan
Maintain fully executed contracts and other pertinent contract documents in share drive

Qualification

Contract managementCredentialingHealthcare administrationRegulatory complianceBusiness development

Required

Bachelor's Degree in Business, Healthcare Administration or a related field is required
Two to four years' experience in management

Company

BrightSpring Health Services

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BrightSpring Health Services provides clinical, nonclinical and pharmacy and other ancillary care services.
dateFounded in 1974
location
Louisville, Kentucky, USA
people-size10001+ employees
web-link
https://www.brightspringhealth.com/

Funding

Current Stage
Public Company
Total Funding
$2.88B
Key Investors
Kohlberg Kravis Roberts
2025-06-10Post Ipo Secondary· $304.5M
2024-12-11Post Ipo Debt· $2.55B
2024-09-13Post Ipo Secondary· $30M

Leadership Team

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Susan Sender
Chief Clinical Officer
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Recent News

MarketScreener
BrightSpring Health Services Shares Rise After KeyBanc Upgrade
2025-12-13
Home Health Care News
Where The Largest Home-Based Care Providers Are Scoring Key Wins
2025-11-20
PR Newswire
Homecare Homebase Honors 2025 Customer Award Winners and Home Care Aide Scholarship Recipients Advancing Excellence in Home-Based Care
2025-11-12
Company data provided by crunchbase