CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday.  This career site is for external applicants only.

Love Where You Work!

Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. 

If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.

Location

BHG Bronson Healthcare Group

Title

Managed Care Operations Specialist

The ideal candidate is detail-oriented, organized, willing to learn, and able to work both independently and collaboratively in a fast-paced environment.

Responsibilities

Payer Portal & System Validations

• Complete routine validations in Availity and other payer portals.
• Perform routine provider and facility validations in applicable state, federal, and commercial payer systems.
• Upload and maintain Certificates of Insurance (COIs) in CAQH and applicable systems.
• Ensure practice and provider demographics are accurate across internal and external databases.
• Complete out-of-state Medicaid work queues in Epic to support accurate enrollment and billing.

Credentialing, Enrollment & Delegation Support

• Assist with updating provider signature forms, demographic details, locations, and related documentation.
• Maintain accurate documentation for auditing, enrollment, and provider data management tasks.
• Help monitor and validate data required by governmental and commercial payers.

Data Quality & Maintenance

• Conduct annual payer directory audits to verify accuracy of provider and location information.
• Identify discrepancies in payer or internal systems and escalate or resolve as appropriate.
• Maintain internal logs, shared folders, documentation templates, and tracking tools.
• Support the integrity of managed care contracts, credentialing, and enrollment databases.

Departmental Operational Support

• Respond to internal inquiries regarding payer portal access, enrollment status checks, or data updates.
• Assist with developing and updating standard work documentation.
• Provide project support and assist with reporting or operational tasks across the Managed Care team.
• Maintain confidentiality of all provider, facility, and organizational information.
• Performs other duties as assigned.

Qualifications

Required:

• High School Diploma or GED.
• Minimum 2 years of experience in a healthcare environment (e.g., billing, credentialing, enrollment, payer operations, medical office).
• Proficiency with computers, Microsoft Office, and web-based applications.
• Strong attention to detail and ability to multitask.
• Ability to work independently and collaboratively.
• Strong written and verbal communication skills.

Preferred:

• Associate’s degree in business, healthcare administration, or related field.
• Experience with payer portals (Availity, CHAMPS, NPPES, etc.).
• Background in credentialing, enrollment, revenue cycle, or managed care activities.
• Familiarity with Epic and CAQH ProView.

Working Conditions

• Hybrid work environment with both onsite and remote work expectations.
• Standard office environment: ability to sit, stand, and use a computer for extended periods.
• Occasionally must lift up to 10 pounds.
• Must be able to manage multiple priorities and work efficiently under deadlines.

This is a hybrid position with a combination of on-site and remote work, based on departmental needs.

Shift

First Shift

Time Type

Full time

Scheduled Weekly Hours

40

Cost Center

1040 Managed Care Contracting (BHG)

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