{"id":1984343,"url":"https://alion.io/job/immanuel-provider-contracting-credentialing-coordinator","title":"Provider Contracting & Credentialing Coordinator","company":{"id":2058969,"name":"Immanuel","domain":"immanuel.com","url":"https://alion.io/company/immanuel-com","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"iCIMS","truth_index":null},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["Omaha, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":35000,"max_usd":62000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":3204},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-07T01:21:12Z","employer_posted_date":"2026-10-07","last_verified_at":"2026-10-13T20:38:44Z","board_verified":true,"closed_at":null,"days_open":6,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":6},"description":"Overview\nImmanuel Pathways PACE® is seeking a Provider Contracting & Credentialing Coordinator to work at Immanuel Home Office located at 1044 North 115th Street, Omaha, NE 68154.\nPay will be based upon experience, certifications, skills and education.\nBest in Class Benefits can be found at Immanuel:\n HEALTH: Medical, dental, vision, Health Savings Account (HSA), and Flexible Spending Account (FSA)\nLIFE INSURANCE: Employer Paid Life Insurance\nTIME OFF: Paid Time Off - accruing from day one of employment, Floating Holidays, Paid Holidays, 8 hours of Volunteer Time Off per year\nRETIREMENT: 401K with employer match\nWELLNESS: Wellness Program and Employee Assistance Program\n GROWTH AND DEVELOPMENT: Advancement opportunities (as appropriate) - we look to grow from within our organization, Education Assistance Program - we invest up to $5,250 per year for education assistance paid up front\nPlus many more benefits!\nJob Duties & Skills Required\nWhat You Will Do\nSupports the Provider Network Manager through provider network administration, contract lifecycle management, Primary Care Provider credentialing, and oversight of the PACE Out-of-Network process. Serves as the primary administrator for Out-of-Network requests and associated contracting activities while supporting provider network operations, contract administration, compliance monitoring, and scheduling initiatives. Collaborates with Compliance, Legal, Finance, Operations, Scheduling, and Center leadership to ensure efficient provider network administration, regulatory compliance, and participant access to services. Supports and lives out Immanuel’s Mission and CHRIST Promises.\nSkills & Requirements\nKey Areas\nKey Responsibilities and Duties of the Job\nOut-of-Network Program Administration\nServes as the primary administrator and subject matter expert for the Out-of-Network (OON) process.\nMaintains and oversees the OON workflow from request initiation through contract execution, service completion, and closure.\nMaintains the OON tracking system and ensures all requests are accurately documented and monitored.\nReviews OON requests for completeness and coordinates follow-up with requestors as needed.\nProvides onboarding, training, and ongoing support to designated employees responsible for initiating OON requests, including Primary Care Providers, Social Workers, Care Transition Nurse Case Managers, Executive Directors, and Medical Directors.\nMonitors adherence to established OON workflows and identifies opportunities for process improvement.\nEnsures temporary, single-case, and out-of-network agreements are appropriately closed once services are complete or no longer needed.\nCollaborates with providers and internal stakeholders to facilitate timely contracting and authorization of OON services.\nProvides routine updates regarding OON activity, trends, and process compliance to Sr. Provider Network Manager.\nServes as the primary resource for operational questions related to the OON process.\nDevelops and maintains OON workflows, tools, and reference materials to promote consistency and compliance across the organization.\nIdentifies opportunities to transition recurring OON services to contracted providers and escalates network needs to the Sr. Provider Network Manager.\nProvider Network Operations & Contract Administration\nSupports the Sr. Provider Network Manager in the administration and maintenance of the contracted provider network.\nMaintains and oversees a comprehensive contract tracking system for all in-network and out-of-network provider agreements, including contract requests, new agreements, amendments, renewals, and terminations, ensuring accurate tracking from initiation through execution, implementation, and closure.\nCoordinates contract routing, review, approval, and execution processes with internal and external stakeholders.\nConducts follow-up with providers and internal departments to facilitate timely contract completion.\nMaintains contract records and supporting documentation in Contract Guardian and other designated systems.\nMaintains the Provider Network Listing and ensures provider information is current and consistent across designated systems, including the T: Drive and ZingTree.\nAssists with provider onboarding and implementation activities following contract execution.\nSupports network maintenance activities and special projects as assigned by the Sr. Provider Network Manager.\nMonitors upcoming contract expirations and assists with renewal preparation and coordination.\nEnsures provider demographic, participation, and contractual information remains accurate and up to date.\nScheduling Operations Support\nAssists Scheduling Leadership with operational support activities, special projects, and process improvement initiatives.\nSupports maintenance and optimization of scheduling, referral, and provider workflow processes.\nAssists with referral work queue cleanup, provider maintenance activities, and scheduling-related administrative projects, as needed.\nProvides cross-functional support between Scheduling, Provider Network, and Center Operations teams to ensure efficient coordination of services.\nCompliance\nEnsures provider network, credentialing, contracting, and Out-of-Network activities comply with CMS, state, organizational, and PACE requirements.\nCompletes implementation audit checklists following contract execution.\nMonitors compliance with established provider network, credentialing, and OON workflows and requirements.\nConducts OIG exclusion screenings for prospective contracted vendors and facilities, including both In-Network and Out-of-Network entities, and reports any potential matches to the Compliance Officer for review and follow-up. \nReviews and maintains documentation of CMS Preclusion List monitoring reports, identifies contracted vendors or facilities that may appear on the list, and escalates findings as appropriate.\nParticipates in quality improvement initiatives related to provider contracting, participant access, scheduling operations, and network management.\nMaintains compliance with departmental and organizational policies, procedures, and confidentiality standards.\nParticipates in required compliance education, training, and organizational initiatives.\nPrimary Care Provider Credentialing & Maintenance\nResponsible for the credentialing and ongoing monitoring process of PACE Primary Care Providers.\nCoordinates collection, verification, and maintenance of credentialing documentation in accordance with organizational and regulatory requirements.\nMaintains credentialing records and monitors licensure, certifications, insurance coverage, and other required credentialing elements.\nEnsures timely recredentialing and monitoring activities are completed.\nCollaborates with internal stakeholders to support Primary Care Provider credentialing compliance and documentation requirements.\n5% Other\nPerforms other duties as required or requested.\nQUALIFICATIONS\nEducation-\nPost high-school education is required.\nBachelor’s degree in business administration or related field is preferred. \nEquivalent years of experience may substitute for education requirement. \nExperience-\nTwo (2) years’ experience in a higher-level administrative role, preferably in the healthcare industry, is required.\nPrevious business or healthcare management experience preferred.\nPrevious experience with contract management and analytics is preferred.\nEquivalent years of education may substitute for experience requirement.\nOther Requirements-\nMust have a valid driver’s license, proof of insurance and have reliable means of transportation.\nAgree to abide by the mission, promises, philosophy, practices, and protocols of Immanuel as well as specific community or center.\nImmanuel\nAt Immanuel, we believe that our success is built on the collective strength of our people. Here’s why you’ll thrive as part of our team:\nMeaningful work: You won’t just have a job; you will have a purpose. Our Mission impacts the lives of our residents/participants and their families, one another, and our community.\nGrowth Opportunities: We invest in your development. Whether it’s mentorship, training, or advancement, we’re committed to your growth.\nInclusive Culture: We celebrate uniqueness and foster an environment where everyone feels valued.\nWork-Life Harmony: We believe in allowing you to thrive by leveraging your passion. Achieve your best work while maintaining a healthy work-life harmony.\nTotal Rewards: A focus on feedback and recognition, competitive compensation, a robust benefits package, and perks beyond the basics.\nIntentional Experience: We are very intentional about your employee experience, from Day One Orientation to how we onboard new managers and invest in quarterly and annual leadership training. \nJoin us at Immanuel and be a part of something extraordinary. Your journey starts here.\n\nImmanuel is an Equal Opportunity Employer and participates in E-Verify.\nA background check and drug screen will be required prior to hire.\nApplicants must be currently authorized to work in the United States on a full-time basis.","description_format":"text","description_chars":9113,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":true},"security_clearance":false,"languages":[]},"benefits":["401k plan","Education assistance","Growth opportunities","Home office","Insurance coverage","Life insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Senior Living & Assisted Living","Home Care Services"],"lifecycle":[{"event":"open","at":"2026-10-07T01:21:12Z"}],"visa":[],"liveness":{"score":67,"band":"ok","label":"Likely open","p_open":1,"p_active":0.746,"p_room":0.9,"age_days":6,"expected_fill_days":9,"reasons":["conf:2","urgency","win:mid","comp:junior"],"computed_at":"2026-10-13T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/immanuel-provider-contracting-credentialing-coordinator","json_url":"https://alion.io/job/immanuel-provider-contracting-credentialing-coordinator.json","meta":{"generated_at":"2026-10-13T22:41:03Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":34589,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2058969},"rest":"https://alion.io/mcp/rest/get_company?id=2058969"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fimmanuel-provider-contracting-credentialing-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fimmanuel-provider-contracting-credentialing-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fimmanuel-provider-contracting-credentialing-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/immanuel-provider-contracting-credentialing-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fimmanuel-provider-contracting-credentialing-coordinator"}]}