Credentialing & Contracting Specialist

Ambrosia’s Florida Drug Rehab and Florida Mental Health Treatment Careers We pride ourselves in hiring compassionate individuals that are ready to provide quality care. Our goal is to create a warm working environment in which our employees feel respected and valued. In the end, we at Ambrosia Behavioral Health know that the happiness of our team leads to a higher rate of success in our clients. Check out our current job listings to see if you are the right fit for a position at one of our renowned addiction treatment facilities. Rewarding Work in the Behavioral Health Field At Ambrosia Behavioral Health, we believe there is nothing more fulfilling than helping others. Our team of addiction specialists works closely with those battling substance misuse and mental illness. In addition, we offer them essential structure and crucial support when they need it most. People trust us to help them or their loved ones because they know our hardworking staff will do everything to help them achieve a happy, sober life. Purpose-Driven Culture Ambrosia Behavioral Health is based on like-mind culture and positive personalities. We emphasize the importance of empathy, integrity, and unity to our employees. In fact, we consider ourselves to be less like co-workers and more like family. Our values include: Community: A strong sense of unity and inclusivity are everything to our center. Generosity: We believe in being generous with our time and kindness. Commitment: Our team members are dedicated to changing lives through comprehensive treatment. Resiliency: We never give up. Our staff members continue to strive for excellence no matter what. Compassion: We create a nurturing, judgment-free environment for all of our clients. Action: We do what we say we will as it is important to us that we are always living our truth. Benefits of Working With Us The future of our employees is important to us. That’s why we offer opportunities for growth and education. New employees have the opportunity to work closely with some of the most knowledgeable and skillful professionals in the industry. Our team takes the treatment of addiction and mental illness seriously. Thus, this is why we want to ensure our employees are rewarded for their hard work. Moreover, along with professional development, reduced health insurance plans, and generous PTO, we are on a mission to set those who work with us up for success. Learn More About Our South Florida Treatment Programs Dig deep to address the causes of behavioral health issues. At Ambrosia Behavioral Health, our team works together to create a better and brighter future for our clients. We offer a wide range of part-time and full-time positions at each of our locations. If you do not see a position that interests you below, please be on the lookout for future openings as we continue to grow and better our company. Position: Credentialing & Contracting Specialist Location: West Palm Beach, FL Job Id: 412 # of Openings: 1 Ambrosia Behavioral Health is revolutionizing behavioral, substance use, and eating disorder treatment for adolescents and adults by combining cutting edge neuroscience and precision diagnostics with compassionate, evidence-based therapies. Guided by our core values—Compassion, Curiosity, Excellence, and Innovation—we provide individualized, holistic, trauma-informed care in a supportive and healing environment that improves patient outcomes and empowers patients toward long-term recovery. This position is on-site in West Palm Beach, FL Position Summary Ambrosia Behavioral Health is seeking an experienced Credentialing & Contracting Specialist to oversee all aspects of provider and facility credentialing, payer enrollment, and managed care contracting. This is a strategic role for someone who understands the business side of behavioral healthcare and is passionate about improving reimbursement, strengthening payer relationships, and supporting the financial success of the organization. The ideal candidate is proactive, detail-oriented, and experienced in navigating commercial insurance contracting and credentialing processes. What You\'ll Do Provider Credentialing Manage initial credentialing, recredentialing, and payer enrollment for physicians, psychiatrists, psychologists, therapists, nurse practitioners, physician assistants, and other licensed providers. Ensure providers maintain uninterrupted participation with contracted insurance plans. Maintain and monitor CAQH, NPPES, PECOS, state licenses, DEA registrations, malpractice insurance, board certifications, and all required credentialing documentation. Track renewals and maintain an organized credentialing database. Facility Credentialing Coordinate facility enrollments, credentialing, and recredentialing with commercial insurance payers. Manage all payer enrollment applications and updates. Maintain active participation with contracted health plans. Support credentialing efforts for new facilities, service lines, and market expansion. Managed Care Contracting Lead contract negotiations with commercial insurance companies. Renegotiate existing agreements to improve reimbursement rates and contract terms. Analyze reimbursement methodologies and benchmark contracted rates against market standards. Review contract language, fee schedules, authorization requirements, carve-outs, and payment policies. Identify opportunities to improve reimbursement, reduce denials, and strengthen cash flow. Partner closely with the Revenue Cycle Director, CFO, Admissions, Utilization Review, Billing, and Collections teams to resolve: Credentialing and enrollment issues Underpayments Claims impacted by credentialing delays Payer Relationship Management Serve as the primary point of contact for: Commercial insurance payers Provider representatives Contract managers Build and maintain strong payer relationships that support faster issue resolution, successful negotiations, and long-term contracting opportunities. What We\'re Looking For Minimum of 3 years of experience in provider credentialing, payer enrollment, and/or managed care contracting Experience within behavioral health, healthcare, hospital, or physician practice settings preferred Strong understanding of commercial insurance credentialing and contracting processes Experience negotiating managed care contracts is highly preferred Knowledge of CAQH, NPPES, PECOS, and provider enrollment requirements Excellent analytical, organizational, and negotiation skills Ability to manage multiple projects and meet deadlines in a fast-paced environment Strong written and verbal communication skills Danesh Alam MD, DFAPA, DFASAM ( Medical Reviewer ) Dr. Alam is an internationally renowned psychiatrist with academic affiliations with Northwestern University and University of Illinois, Chicago where he completed his residency training. He has been a principal investigator for over forty studies and has been involved in research leading to the approval of most psychiatric medications currently on the market. He is the founder of the Neuroscience Research Institute which continues to conduct research on cutting edge medication and interventional psychiatry. Dr. Alam is a Distinguished Fellow of the American Psychiatric Association and the American Society of Addiction Medicine. He has won several awards and has been featured extensively on radio and television. #J-18808-Ljbffr Ambrosia Treatment Centers