RightSite Health

Insurance

• Manage all aspects of the provider licensing and credentialing process, including health plan network participation across multiple states
• Onboard new providers through IMLC, licensure, Medicare, Medicaid, and DEA processes
• Maintain and verify provider information on CAQH, NPPES, PECOS, Availity, and other external sites
• Manage provider renewals involving IMLC, licensure, and Nurse Compact requirements
• Handle health plan applications, follow-up, contracting, and credentialing for fee-for-service arrangements
• Maintain health plan credentialing requirements and specific training requirements
• Manage databases, effective-date inputs, and passwords
• Support billing partners with effective dates, passwords, and health plan issues
• Develop policies and procedures for physician credentialing and contracting
• Communicate with Operations to support provider scheduling
• Optimize revenue cycles, ensure compliance with state and federal regulations, and contribute to the organization’s financial health

Credentialing and Health Insurance Specialist

Account Manager

• Own the day-to-day health of assigned EMS partnerships, serving as the primary point of contact and accountable steward of the partner experience.
• Build and sustain trusted relationships with EMS chiefs, operations leaders, dispatch leadership, and field personnel, grounded in a practical understanding of EMS workflows and constraints.
• Partner with Sales as a subject-matter and relationship expert, participating in renewals, expansions, and planning conversations to ensure continuity and credibility.
• Enable growth within existing and adjacent agencies by providing warm introductions, institutional knowledge, and operational context.
• Drive adoption and appropriate utilization by helping agencies align training, dispatch workflows, and field operations to real-world conditions.
• Monitor partner performance and utilization trends, identifying risks early and surfacing opportunities to improve outcomes and capacity.
• Coordinate closely with Implementation and Clinical teams to resolve issues, refine workflows, and strengthen clinical and operational results.
• Plan and lead regular partner check-ins, performance data reviews, and on-site engagements to maintain alignment and trust.
• Support contract renewals, amendments, and program expansions in collaboration with Sales and executive leadership.
• Represent RightSite in agency meetings, trainings, and regional or state EMS forums as a credible partner to the EMS community.
• Maintain accurate, current records in CRM systems to support forecasting, renewals, and internal coordination.
• Stay current on EMS market dynamics, regulatory changes, and public-sector trends that shape partner needs and decision-making.

Credentialing and Health Insurance Specialist

EMS Account Manager