RESPONSIBILITES/DUTIES:

1. Build: Supports provider recruitment, contracting, network adequacy analysis, gap identification, and onboarding.
2. Train: Educates providers on CTC processes, contractual obligations, technology/API requirements, billing expectations, and client-specific requirements.
3. Monitor: Tracks on-time performance, missed trips, complaints, FOCs, API/GPS compliance, credentialing issues, utilization, and other key performance indicators.
4. Manage: Conducts regular provider check-ins, review scorecards, provide coaching, and implement corrective actions.
5. Enforce: Ensures compliance with contract requirements, manage remediation plans and escalations, and recommend suspension or termination when necessary.
6. Grow: Identifies opportunities to expand network capacity, improve levels of service coverage, and strengthen provider partnerships.
7. Leads targeted research to identify potential subcontractors in emerging and existing service areas, in alignment with dispatch needs and new client contract requirements.
8. Optimizes subcontractor onboarding, including contracting and credentialing processes, to support efficiency and compliance.
9. Assists the Vendor Network Manager with monthly reporting on pending Medi-Cal enrollments, credentialing audits, provider metrics, and API performance, including follow-up, strategic updates, and subcontractor issue resolution.
10. Assists the Vendor Network Manager in establishing and enforcing standardized provider document verification processes to support contract compliance and accurate credentialing records.
11. Maintains strong, collaborative relationships with the Contracting and Credentialing Teams, Call the Car employees, transportation providers, and other key stakeholders.
12. Collaborates with the Vendor Network Manager to develop and implement communication strategies that set clear expectations and support timely completion of provider requirements.
13. Partners with Dispatch to address network inadequacies, leads outreach to expand provider capacity, ensures service continuity, and collaborates with other departments on contracting-related items.
14. Assists the Vendor Network Manager with managing and coordinating bus pass distribution for specific clients, ensuring accuracy and efficiency.
15. Identifies process improvement opportunities and present strategic recommendations to leadership.
16. Facilitates clear communication between Providers, Drivers, and CTC leadership to promote transparency and collaboration.
17. Ensures 100% accuracy and compliance across all aspects of the contracting and credentialing process.
18. Mentors and guides Specialists to support professional development and consistent performance.
19. Assumes responsibility for special projects and initiatives assigned by management.
20. Able to assist with complex high-level contracting or credentialing matters
21. Performs all other duties assigned by management.

PERFORMANCE REQUIREMENTS:

Knowledge, skills and abilities:

1. At least 2-3 years of relevant Credentialing or Contracting experience; experience in healthcare, transportation, or quality improvement setting preferred.
2. Bachelor's or associate degree preferred; High School Diploma or GED required.
3. Proficiency with Microsoft Office (particularly Excel, Outlook, and Word) required.
4. Possesses organizational skills with close attention to detail.
5. Strong verbal and written communication skills with the ability to interact collaboratively with team members and professionally with external contacts. 
6. Ability to adapt quickly to changing priorities and handle multiple tasks simultaneously.
7. Strong problem-solving and critical thinking skills, along with the ability to multitask and manage time well in a fast-paced, team-oriented environment.
8. Basic knowledge or willingness to learn CTC systems and procedures, including but not limited to CTC Connect, dispatch software, customer service protocols, and client expectations.
9. Advanced analytical skills -- ability to make recommendations by using data to identify trends.
10. Comfortable working independently with guidance from management.
11. Ability to type at least 40 wpm.
12. Must pass a Criminal Background Screening.
13. Must pass government exclusion list at time of hire and monthly thereafter.

TYPICAL WORKING CONDITIONS: The typical working condition for this position is on-site in an indoor office environment with controlled climate, lighting, and noise levels. The job may require extended periods of sitting, standing, kneeling, bending, and/or lifting of at least 25 lbs. This is an on-site position. Employees are expected to work from the office during scheduled business hours. Remote work is not available for this role. The use of a computer or other office equipment is also a requirement. Some evening, weekend, and/or holiday work and light travel may be necessary.