Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

Join us in tackling healthcare for rural America! We’re seeking a Credentialing Specialist who is passionate about having a positive societal impact, and using technology for good – solving issues of health inequity for communities that have been perennially underserved.

You’ll be responsible for leading provider licensing, credentialing, and contracting across federal, state, and health plans. As a member of our centralized Operations team, you will work closely with our in-market teams and cross-functionally with other centralized teams. You will drive process improvement and support efficiency and impact as we grow and scale. In addition, you will provide operational support for key initiatives.

What You'll Do

Drive all provider licensing, credentialing, and in-network contracting for Homeward providers
Develop licensing, credentialing, and contracting workflows and processes as we scale our clinical team across multiple states
Maintain databases of required licenses, certifications, in-network contract status, and credentials
Manage Homeward’s provider roster to mitigate risks associated with growth, drive efficiency, and advance proactive monitoring and action related to licensing, credentialing, and contracting
Deploy operational components of Solutions and Marketing and Member Engagement initiatives

What You Bring

3+ years of licensing, credentialing, and contracting experience with a variety of provider types: MD, DO, PA, RN, allied health providers, and behavioral health.
In-depth knowledge of regulations, requirements, and procedures related to Medicare licensing, credentialing, and health plan contracting
Experience with credentialing management systems
Highly detail-oriented: you routinely catch the little things that others miss or overlook
Exceptional communication skills to support work with different groups of stakeholders and communicate process and progress to the organization

Bonus Points

Experience with credentialing in a health technology organization
Experience with Medicaid, Commercial, and ACA lines of business
Experience with primary care credentialing
Strong process and project management skills, including the use of enabling tools and software

What Shapes Our Company

Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health
Compassion and empathy
Curiosity, and an eagerness to listen
Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
Strong focus on the sustainability of our business and scalability of our services, to maximize our reach and impact
Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view
Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!

Benefits

Competitive salary, equity grant, generous paid time off
Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
Unlimited Paid Time Off
Company-sponsored 401k plan
Flexible working arrangement

Salary: $75,000 - $90,000 per year

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

Homeward is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Senior Risk Adjustment Coding Specialist (Hybrid)

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