Amity Foundation

• Manage the contracting and credentialing activities with commercial insurance companies and managed care plans and Medicaid agencies. • Oversee the complete process of provider enrollment, application, credentialing, through contract execution. • Ensure that all applications are submitted accurately and followed through aggressively. • Serve as the point of contact for contract negotiations. • Maintain persistent follow-up to expedite approvals and contract activations. • Work closely with Grants, Contracts, Development team, Chief Operating Officers, Program Manager, and Finance to review current plans. • Make initial contact with provider enrollment for each plan. • Prepare, submit and track all contracting paperwork, credentialing applications and recredentialing files for all providers and facilities. • Monitor credentialing timelines, proactively follow-up through the approval and contracting process. • Maintain an organized tracking system of credentialing statuses, contracting progress, rate agreements, and renewal deadlines. • Attend regular meetings to provide regular reports to leadership regarding credentialing/enrollment completions, contracting process and outstanding issues. • Develop effective working relationships with credentialing and contracting representatives. • Work with the Amity services faculty in Pima County to gather and verify specific information needed for applications in Arizona. • Work with the Amity Enhanced Care Management and Community Supports faculty to gather and verify specific information needed for applications in California. • Ensure that all draft contracts are sent to and reviewed by relevant Amity services, finance, legal, people operations, data and executive teams. • Ensure that all fully executed contracts are uploaded to the Amity contracts repository and are also sent to all relevant teams. • Stay up to date on Medicaid guidelines, commercial insurer requirements and industry best practices related to credentialing and contracting.

• Ensure grantees maintain insurance compliance as required by grant agreement. • Accurately and promptly resolve insurance related inquiries, whether generated by grantees or internal team • Provide prompt and effective assistance to grantees through various channels of communication (email, phone & video conference) • Maintain accurate records and consistently document ongoing grantee interactions in internal systems, databases and CRM! • Collaborate with extended team (both internal + external) to help organization accomplish ongoing priorities and collectively succeed • Prepare recurring compliance and performance reports for leadership and stakeholders • Help design new solutions as well as refine existing processes, tools or resources that deliver increased performance • Continually adhere to organization’s policies and procedures • Identify compliance gaps and escalate issues as appropriate • Assisting in budget preparation and financial planning • Analyzing financial data and deliver actionable insights to sr. management to enable informed, strategic decision-making