Tennessee Licensed Payor Relations Specialist

Job Summary

A company is looking for a Payor Relations Specialist who will manage and optimize licensing and health plan credentialing.

Key Responsibilities

• Manage branch and warehouse location licensure and ensure timely renewals
• Handle credentialing processes including Medicare and Medicaid enrollment applications
• Initiate new contracts with payors and identify key contacts within health plan partners

Qualifications

• Bachelor's degree in Healthcare Administration or equivalent experience in Healthcare
• 5-8 years of experience in healthcare payor relations, focusing on provider enrollment
• Experience in Durable Medical Equipment (DME) is required
• Thorough understanding of state and federal licensing and provider enrollment requirements
• Familiarity with Medicare's PECOS system and state Medicaid enrollment processes is preferred