What are the responsibilities and job description for the Managed care Specialist position at Apidel Technologies?
Apidel Technologies is a WMBE (Women & Minority Based Enterprise) and E-verified global staffing company committed to changing the staffing landscape by creating value and fostering trusted partnerships. With a network of recruitment specialists across India and the U.S., Apidel focuses on meeting client needs with tailored staffing solutions, whether temporary, temporary-to-permanent, or permanent placements. The organization prides itself on core values, including diversity, teamwork, persistence, and integrity, and is widely recognized as a top staffing agency by its clients. Apidel is devoted to providing equitable opportunities and maintains a strong commitment to diversity and inclusion.
This is a contract hybrid role for a Managed Care Specialist, based in Nashville, TN, with opportunities for remote work. The Managed Care Specialist will be responsible for tasks such as engaging in contract negotiations, ensuring compliance in Medicaid managed care processes, handling credentialing activities, analyzing relevant data for decision-making, and maintaining effective communication with stakeholders to support managed care operations.
- Proven expertise in Medicaid managed care and experience with credentialing processes
- Strong analytical skills for data evaluation and strategic decision-making
- Experience in contract negotiation and understanding of contract compliance
- Excellent communication skills to effectively collaborate with various stakeholders
- Relevant certifications or experience in the healthcare or insurance industries are a plus
- Ability to work in a hybrid environment with strong organizational and time-management skills