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Provider Credentialing and MCO Enrollment Specialist

Active

State & Local

Response Deadline09/29/2026, 07:00:00 PM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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This subcontract for the City of Louisville involves a Provider Credentialing and MCO Enrollment Specialist supporting prime contractors on projects for the Louisville Metro Department of Public Health and Wellness. The specialist is responsible for performing primary source verification and completing enrollment applications for Kentucky Medicaid and five Managed Care Organizations. Key duties include monitoring portals to resolve data discrepancies and negotiating retroactive effective dates to ensure seamless billing. The scope of work specifically requires securing written confirmation of active in-network billing status for 30 providers. The final deliverables consist of confirmed active billing status and comprehensive documentation of effective dates. This opportunity is categorized under NAICS code 621999 and is managed through the city's procurement portal.

General Info

Specialist handles provider credentialing and MCO enrollment for Louisville Metro Department of Public Health.

Agency

Kentucky → City Of LouisvilleView Agency

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care ServicesView NAICS

Place of Performance

KY, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP270040.

The full solicitation package (7 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Comprehensive Provider Credentialling Enrollment Project

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Timeline

PostedSep 15

subcontract

Response DeadlineSep 29

Submission deadline

Response Deadline

09/29/2026, 07:00:00 PM UTCin 8 days

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Organization & Contact Information

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AgencyKentucky → City Of Louisville

ContactsNo contacts available

OfficeN/A

Organization / Agency

Kentucky → City Of Louisville

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs provider credentialing and MCO enrollment for prime contractors on Louisville Metro Department of Public Health and Wellness projects. Conducts primary source verification, completes enrollment applications for Kentucky Medicaid and five MCOs, and monitors portals to resolve data discrepancies. Negotiates retroactive effective dates and secures written confirmation of active in-network billing status for 30 providers. Delivers confirmed active billing status and effective date documentation.

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