BioMatrix Infusion Pharmacy · 8 hours ago
Contract Administrator and Credentialing Specialist-Infusion
United States
Contract
Remote
Entry, Mid Level
2+ years expBioMatrix is a nationwide, independently-owned infusion pharmacy dedicated to supporting patients on specialty medication. The Contract Administrator and Credentialing Specialist Infusion is responsible for managing pharmacy and provider contracts, ensuring compliance with regulatory standards, and overseeing the credentialing processes for clinical providers.
Health CarePharmaceutical
Responsibilities
Manage end-to-end credentialing and recredentialing processes for pharmacy operations and clinical providers (MDs, NPs, etc.)
Prepare, complete, and submit applications to health plan payors, PBMs, and credentialing bodies, ensuring accuracy and timeliness
Maintain and update payor files, including credentialing documentation, contracts, and correspondence
Ensure all licenses, certifications, and supporting documentation are accurately maintained and kept up to date for credentialing and contracting processes
Track and monitor contract renewals, expirations, amendments, and termination dates
Collaborate with cross-functional teams (clinical, compliance, finance, legal, and operations) to ensure seamless credentialing and contract workflows
Ensure compliance with federal, state, and accreditation standards related to credentialing and provider contracts
Respond to payor and provider inquiries regarding credentialing, contract status, and compliance
Assist with special projects and audits as assigned
Support process improvement initiatives related to credentialing and contract management
Provide backup support to other team members during high-volume periods or absences
Participate in staff meetings, training, and professional development activities
Qualification
Required
Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, or related field strongly preferred
Minimum of 2–3 years of experience in credentialing and/or payor contracting within a healthcare setting
Strong knowledge of provider enrollment, credentialing standards, and healthcare regulations
Proficiency with CAQH, PECOS, NPPES, and payor portals
Demonstrated organizational skills with the ability to manage multiple priorities and meet deadlines
Excellent verbal and written communication skills with strong attention to detail
Preferred
Experience in home infusion, specialty pharmacy, or physician group practice credentialing/contracting
Familiarity with managed care payor agreements, contract language review, and negotiation support
Experience with database management systems or credentialing software solutions
Knowledge of billing, reimbursement models, and payer/provider network management
Company
BioMatrix Infusion Pharmacy
BioMatrix Infusion Pharmacy is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$80M2024-06-25Acquired
2016-12-02Private Equity· $80M
Leadership Team
Kathee Kramm
President and COO
Recent News
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