Part-time Payer Contracting & Credentialing Specialist

Atlantic Health Strategies™

. Prepare and submit commercial and Medicaid organizational applications.

Posted 11/5/2026part-timeRemote • United StatesMid-LevelSenior💰 $50 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health payer contracting, including Medicaid MCO enrollment and commercial payer contracting, with a strong ability to analyze reimbursement structures and deliver actionable recommendations. Proficient in managing contracting processes, maintaining accurate records, and communicating findings effectively to leadership.

Highest-signal resume keywords

Behavioral Health Payer ContractingMedicaid MCO EnrollmentCPT and HCPCS Code KnowledgeReimbursement AnalysisStrong Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicaid Fee Schedule InterpretationContract Provisions AnalysisLevel-of-Care Billing RequirementsTaxonomy Alignment VerificationAuthorization and Documentation Evaluation

Soft Skills

PrioritizationDeadline ManagementSound Judgment

Tools & Technologies

Microsoft TeamsCAQH Profile Updates

Industry Keywords

Managed Care OrganizationMulti-State Medicaid ExperienceConsulting Organization SupportManagement Services Organization

About the role

Key responsibilities & impact

Prepare and submit commercial and Medicaid organizational applications.
Coordinate managed care organization (MCO) enrollment and revalidation.
Track contracting milestones, renewals, and outstanding requirements.
Review payer contracts and fee schedules, identify reimbursement variances, and flag operational or financial risks.
Manage organizational Type 2 NPI enrollments and service location additions.
Verify taxonomy alignment with licensed levels of care.
Coordinate applicable CAQH profile updates.
Conduct focused reviews of behavioral health CPT and HCPCS billing practices against payer policies, covered services, and fee schedule requirements.
Evaluate authorization and documentation requirements.
Analyze denial patterns and recommend corrective actions to leadership.
Research state Medicaid fee schedules, managed care reimbursement structures, and provider manuals.
Prepare written findings supporting expansion into new states.
Summarize reimbursement findings and potential financial impacts for executive review.
Maintain accurate contracting and enrollment records.
Work primarily asynchronously and via email, with occasional Microsoft Teams meetings.

Requirements

What you’ll need

At least three years of behavioral health payer contracting experience, including Medicaid MCO enrollment and commercial payer contracting.
Working knowledge of behavioral health CPT and HCPCS codes, level-of-care billing requirements, and ASAM levels of care.
Demonstrated ability to interpret Medicaid fee schedules, payer policies, and contract provisions to identify reimbursement discrepancies and operational risks.
Strong written communication skills, with the ability to deliver clear findings and actionable recommendations within established timelines.
Ability to prioritize assignments, manage deadlines, and exercise sound judgment within a defined scope focused on contracting, credentialing, and analysis.
Multi-state Medicaid experience preferred.
Experience supporting a consulting organization, management services organization (MSO), or multiple facilities preferred.

Benefits

Comp & perks

Meaningful Work: Support an organization committed to ethical, high-quality behavioral health and substance use disorder treatment.
Flexible Schedule: Work remotely approximately 10 hours per week, with primarily asynchronous responsibilities and occasional scheduled meetings.
Professional Impact: Apply your expertise to strengthen payer relationships, support reimbursement accuracy, and improve financial and operational performance.
Part-time W-2 employment.