Role Description This position is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all CooperativeCare Providers including medical providers employed by Ephraim McDowell Health. Responsible for ensuring providers are credentialed, re-credentialed, and participating with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. Must exhibit the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust). Provides customer support for 200+ providers (physicians and allied health) and their office managers in a six county service area; acts as a provider relations representative for CooperativeCare; responsible for facility credentialing on all entities associated with Ephraim McDowell Health, including Ephraim McDowell Health Resource off-site clinics, MedSource, McDowell Home Health and Ephraim McDowell Home Infusion Pharmacy; provide support for Central Kentucky Physicians, Inc., Medical Director, Board of Directors, and CooperativeCare, Inc. Board of Directors. Qualifications - Two (2) years of relevant credentialing experience preferred. Requirements - Compiles and maintains current and accurate data for all providers. - Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed, for Governmental and Commercial Insurance Plans. - Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. - Maintains corporate provider contract files. - Maintains knowledge of current health plan and agency requirements for credentialing providers for Governmental and Commercial Insurance Plans. - Sets up and maintains provider information in online credentialing databases and system. - Tracks license and certification expirations for all entities and providers to ensure timely renewals. - Ensures practice addresses are current with health plans, agencies and other entities, for Governmental and Commercial Insurance Plans. - Manages DEA and professional liability expirations for EMH providers for reporting. - Maintains EMH appointment files and information in credentialing database. - Audits health plan directories for current and accurate provider information. - Reviews hospital and Clinic reimbursements to ensure payments are accurate with the contracted rate. - In the event of a payment variance appeal the under paid portion including submission of all supporting documents. - Track recovery payments and document all appeal and recovery activity. - Maintain and oversee the provider network of membership in CooperativeCare Network of 200+ providers, including physicians, allied health, mental health providers, etc., in six county service area. - Acts as a liaison/provider relations representative between office managers, billing departments, credentialing specialists for all CooperativeCare membership to assist and resolve issues with third party payers, MCOs, commercial, Medicaid and Medicare products. - Manager of “Messenger Model” for CooperativeCare membership which permits providers to select individually the contracts in which they wish to participate. - Work directly with provider relations specialists for all contracted payers (approximately 12 commercial plans, five Managed Care Organizations (MCOs), Medicare and Medicaid, in assisting with provider demographics, etc. - Maintain and update CooperativeCare website to keep up-to-date as possible. - Maintain the provider network information and add and/or term appropriate providers/demographics to all contracted third party payers. - Maintain and revise as needed the “CooperativeCare Credentialing and Recredentialing Plan” (policies and procedures) to ensure compliance with accreditation, state and federal regulatory requirements, and to ensure processes for evaluating and selecting licensed independent practitioners to provide care to its members. - Serve as a clearinghouse for various duties for and on behalf of CooperativeCare membership such as insurance credentialing to reduce the burden on the individual physician/group within the network. - Communicate important network information from contract payers to CooperativeCare membership regarding changes which directly affect their offices. - Distribute workshop and/or educational opportunities to CooperativeCare membership as may be offered by payers. - Work directly with payers to accommodate and facilitate annual Delegated Credentialing and Oversight Audits. - Assist with the preparation of and collection of annual CKPI Assessments for physician membership, totaling approximately $45,000.00. - Assist with the Plan, prepare and organize CKPI Annual Meeting. - Manage facility credentialing for Ephraim McDowell Health and its entities, including off-site Rural Health and Primary Care Facilities, MedSource, McDowell Home Health and Ephraim McDowell Home Infusion Pharmacy. - Assist Ephraim McDowell Health Resource employed-providers, office managers with licensure applications, credentialing issues, etc. - Maintains confidentiality of provider information. - Provides credentialing and privileging verifications. - Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust). - Answers all telephone calls and directs to the correct location. Assists visitors and callers in any way possible. - Opens Department mail and distributes to appropriate person. - Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills. - Contributes to the achievement of the mission, vision, and values of the Organization. - Contributes to the effective operations of the Organization by demonstrating dependability in job performance. - Demonstrates a commitment to incorporating the core concepts of patient family centered care into practice (dignity, respect, information sharing, and participation). - Demonstrates a commitment to the development and implementation of shared governance across the Organization. - Performs other related duties as assigned. Benefits - Works in clean, well-lit, ventilated and air conditioned office area, but visits to numerous departments are sometimes necessary. - May work remotely, if approved by department leadership. - Exposure to a high degree of interruption and stressful situations, time restraints, and deadlines. - Must be able to communicate clearly in person and over the telephone. - Requires occasional move or positioning items weighing up to 20 lbs. unassisted.

Do you love helping others? At Ibotta, our mission is to make every purchase rewarding. Our Ibotta Care Agents offer world-class, awesome support for all Ibotta users. The accuracy, efficiency, critical thinking and personal attention our Care Team gives to every user has been a key component in the success of our company. We are looking for someone who will take personal pride in the reputation our Care Team has built. Position Details: - Type: Part-time, remote - Compensation: $13.50/hour (may be eligible for increases based on performance and tenure) - Location: Must be based in Nevada - Hours: Up to 25 hours/week, Monday–Saturday, 7:00am–5:00pm MST (6:00am-4:00pm PST) - Saturday availability required - Training: Monday–Thursday, 8:00am–2:00pm MST (remote, for the duration of training) - Equipment: Must have a reliable internet connection and a personal desktop or laptop with a working camera and microphone - Applicants must be 18 or older to be eligible for this position ​ What you will be doing: - Embrace and uphold Ibotta’s Core Values: Integrity, Boldness, Ownership, Teamwork, Transparency & A Good Idea Can Come From Anywhere - Provide excellent customer service to Ibotta Savers via email tickets - Work through account information, notes, and customer emails to investigate any issues or pain points within the Ibotta app - Problem solve by reviewing Ibotta systems and customer accounts - Work on special projects for leadership teams as needed - Be an advocate for our savers ​ What we are looking for: - Previous experience providing world-class customer service - Ability to work remotely, previous remote work experience a plus - Fast, organized, and detail-oriented - “Can do” attitude with a drive to thrive in a fast-paced environment - Technologically savvy, with a knowledge of Android and Apple - Good interpersonal skills and effective verbal and written communication skills - Ability to think on your feet with strong problem-solving skills PLEASE NOTE: Applications from out of state cannot be considered at this time. About Us: Built in Denver, CO, Ibotta ("I bought a...") is a free mobile shopping app that gives users cash back on groceries and more. Through our partnerships with brands and retailers like Procter & Gamble, Kraft Heinz, Kellogg, Amazon, Walmart, Target and Uber, we’ve delivered over $1B in cumulative cash rewards to our Savers. Guided by our values and our mission to make every purchase rewarding, we come to work energized by the business problems we get to solve, the technology we get to build, and the people we get to innovate (and have fun) with. Ibotta made Inc.’s 2020 list of the 5000 fastest-growing private companies in the U.S. for the third consecutive year. In 2019, we became the first mobile consumer technology company in Colorado to achieve $1B in valuation. About Ibotta ("I bought a...") Ibotta (NYSE: IBTA) is a leading performance marketing platform allowing brands to deliver digital promotions to over 200 million consumers through a network of publishers called the Ibotta Performance Network (IPN). The IPN allows marketers to influence what people buy, and where and how often they shop – all while paying only when their campaigns directly result in a sale. American shoppers have earned over $2.6 billion through the IPN since 2012. The largest tech IPO in history to come out of Colorado, Ibotta is headquartered in Denver, and is continually listed as a top place to work by The Denver Post and Inc. Magazine. Additional Details: - Compensation: $13.50/hour (eligible for increases in pay based on performance and tenure). - Ibotta is an Equal Opportunity Employer. Ibotta’s employment decisions are made without regard with race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected status. - Applicants must be currently authorized to work in the United States. - For the security of our employees and the business, all employees are responsible for the secure handling of data in accordance with our security policies, identifying and reporting phishing attempts, as well as reporting security incidents to the proper channels. #LI-Remote #BI-Remote #BI-Hybrid

Do you love helping others? At Ibotta, our mission is to make every purchase rewarding. Our Ibotta Care Agents offer world-class, awesome support for all Ibotta users. The accuracy, efficiency, critical thinking and personal attention our Care Team gives to every user has been a key component in the success of our company. We are looking for someone who will take personal pride in the reputation our Care Team has built. Position Details: - Type: Part-time, remote - Compensation: $13.50/hour (may be eligible for increases based on performance and tenure) - Location: Must be based in Georgia - Hours: Up to 25 hours/week, Monday–Saturday, 7:00am–5:00pm MST (9:00am-7:00pm EST) - Saturday availability required - Training: Monday–Thursday, 8:00am–2:00pm MST (remote, for the duration of training) - Equipment: Must have a reliable internet connection and a personal desktop or laptop with a working camera and microphone - Applicants must be 18 or older to be eligible for this position ​ What you will be doing: - Embrace and uphold Ibotta’s Core Values: Integrity, Boldness, Ownership, Teamwork, Transparency & A Good Idea Can Come From Anywhere - Provide excellent customer service to Ibotta Savers via email tickets - Work through account information, notes, and customer emails to investigate any issues or pain points within the Ibotta app - Problem solve by reviewing Ibotta systems and customer accounts - Work on special projects for leadership teams as needed - Be an advocate for our savers ​ What we are looking for: - Previous experience providing world-class customer service - Ability to work remotely, previous remote work experience a plus - Fast, organized, and detail-oriented - “Can do” attitude with a drive to thrive in a fast-paced environment - Technologically savvy, with a knowledge of Android and Apple - Good interpersonal skills and effective verbal and written communication skills - Ability to think on your feet with strong problem-solving skills PLEASE NOTE: Applications from out of state cannot be considered at this time. About Us: Built in Denver, CO, Ibotta ("I bought a...") is a free mobile shopping app that gives users cash back on groceries and more. Through our partnerships with brands and retailers like Procter & Gamble, Kraft Heinz, Kellogg, Amazon, Walmart, Target and Uber, we’ve delivered over $1B in cumulative cash rewards to our Savers. Guided by our values and our mission to make every purchase rewarding, we come to work energized by the business problems we get to solve, the technology we get to build, and the people we get to innovate (and have fun) with. Ibotta made Inc.’s 2020 list of the 5000 fastest-growing private companies in the U.S. for the third consecutive year. In 2019, we became the first mobile consumer technology company in Colorado to achieve $1B in valuation. About Ibotta ("I bought a...") Ibotta (NYSE: IBTA) is a leading performance marketing platform allowing brands to deliver digital promotions to over 200 million consumers through a network of publishers called the Ibotta Performance Network (IPN). The IPN allows marketers to influence what people buy, and where and how often they shop – all while paying only when their campaigns directly result in a sale. American shoppers have earned over $2.6 billion through the IPN since 2012. The largest tech IPO in history to come out of Colorado, Ibotta is headquartered in Denver, and is continually listed as a top place to work by The Denver Post and Inc. Magazine. Additional Details: - Compensation: $13.50/hour (eligible for increases in pay based on performance and tenure). - Ibotta is an Equal Opportunity Employer. Ibotta’s employment decisions are made without regard with race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected status. - Applicants must be currently authorized to work in the United States. - For the security of our employees and the business, all employees are responsible for the secure handling of data in accordance with our security policies, identifying and reporting phishing attempts, as well as reporting security incidents to the proper channels. #LI-Remote #BI-Remote #BI-Hybrid

• Manage populations of patients who meet high risk criteria in order to improve disease state outcomes and improve medication related safety • Ensure safe, effective, and cost-effective medication therapy will be implemented for all patients in their care and monitor care appropriately • Support quality department to improve HEDIS metrics on projects related to medication adherence and routine health visits • Provide clinical recommendations pertaining to, but not limited to gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution and generic substitution • Utilize client formulary information and member specific benefits to guide appropriate medication recommendations • Be aware of current and emerging clinical trends and educate clinical team, physicians and other prescribers • Participate in the development of educational materials that may be presented as education intervention programs • Collaborate with physicians and other prescribers by reviewing patients drug profiles to help safeguard against new prescriptions having unintended side effects and by working with prescribers to assure that the drugs prescribed are eligible for coverage; are low cost, high quality products • Outreach to physicians to clarify medication regimens and make recommendations • Conduct research and analysis to identify cost management and process/quality improvement opportunities